IN CONSIDERATION of the acceptance of my application and permission to participate in and attend Weyburn Campaign to End Duchenne for Jesse’s Journey to take place on Saturday May 12, 2012 at Weyburn, Saskatchewan:

1. I acknowledge that I am aware of the risks to my person and to my property by death, accident, injury, illness, loss, damage or otherwise of participating in and attending at the event and do so voluntarily at my own risk

2. I for myself, individually and for my heirs, my executors and administrators, contractually waive, release, and relinquish any rights and claims, damages and demands I may have against The Foundation for Gene and Cell Therapy, Weyburn Campaign to End Duchenne for Jesse’s Journey, the volunteers, the organizers, the workers, the sponsors and their representatives, successors, and assigns for all injuries, death, accident, illness, loss or damage to my person or property, or otherwise, suffered by me directly or indirectly as a result of or in any way connected with my participation in or attendance at the event

3. I consent to receive medical treatment in the event of injury, accident and/or illness during the event

4. I hereby grant full permission for Weyburn Campaign to End Duchenne for Jesse’s Journey and/or agents authorized by them to use any photographs, video tape, motion pictures, recordings or any other record of this event for any legitimate purposes.