HPA Member Event
Activity Waiver

DETAILS OF ACTIVITY

1. The Participant will be participating in the following activity: Educational/not-for-profit event (the
   "Activity") provided by the Activity Provider.

CONSIDERATION

2. Being of lawful age and in consideration of being permitted to participate in the Activity, the
   Participant releases and forever discharges the Activity Provider, its owners, directors, officers,
   employees, agents, assigns, legal representatives, and successors from all manner of actions,
   causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of
   any injury to person or property, including injury resulting in the death of the Participant, which
   has been or may be sustained as a consequence of the Participant's participation in the Activity,
   and not withstanding that such damage, loss, or injury may have been caused solely or partly by
   the negligence of the Activity Provider.
3. The Participant understands that the Participant would not be permitted to participate in the
   Activity unless the Participant signed this Waiver.

CONCURRENT RELEASE

4. The Participant acknowledges that this Waiver is given with the express intention of effecting the
   extinguishment of certain obligations owed to the Participant by the Activity Provider, and with
   the intention of binding the Participant's spouse, heirs, executors, administrators, legal
   representatives, and assigns.

FITNESS TO PARTICIPATE

5. The Participant acknowledges to the Activity Provider that the Participant does not have any
   physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent
   the Participant from participating in the Activity. If required, the Participant will obtain a medical
   examination and clearance.

FULL AND FINAL SETTLEMENT

6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider
   has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been
   given the opportunity and has been encouraged to seek independent legal advice prior to
   signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant
   is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this
   Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the
   Activity Provider for any property loss or personal injury that the Participant may sustain while
   participating in or preparing for the Activity.

GOVERNING LAW

7. This Waiver will be governed by and construed in accordance with the laws of the State of
   California.