Release of Claims and Agreement to Defend and Indemnify

of (My Address)

both individually and as parent or guardian of

in consideration of, and in exchange for being permitted to observe and/or participate in swimming and other recreational water activities at the facilities at Kellen Ponderosa, L.L.C. (hereinafter, the “Ponderosa”) hereby state and agree to the following:

MM slash DD slash YYYY

(Membership Year)
By my signature below, I represent that I understand and agree to each and every term of this Release and Agreement.