Steely Dad Nation, INC. WAIVER SHEET, RELEASE, WAIVER AND INDEMNITY AGREEMENT In consideration of my being allowed to participate in eating the Steely Dad M.I. Sandwich, I HEREBY AGREE AS FOLLOWS. I understand that there are certain inherent risks, including, but not limited to cardiac arrest, paralysis and even pushing daisies, involved with devouring a Steely Dad M.I. Sandwich and that I have been informed of said risks. I HEREBY ASSUME ALL RISKS INVOLVED IN MY PARTICIPATION IN Consuming and the Steely Dad M.I. Sandwich I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Steely Dad Nation, its officers, participants, promoters, sanctioning organization or any subdivision thereof, owners from all liability to the undersigned, his/her personal representatives, assignees, heirs, and next of kin for any loss or damage on account of injury to person (including death) or property. I HEREBY AGREE TO INDEMNIFY, SAVE AND HOLD HARMLESS the Steely Dad Nation from any loss, liability, damage or cost the undersigned may incur as a result of eating a Steely Dad M.I. Sandwich caused by the negligence of the undersigned for losses, damages (including attorney's fees) which may be brought against the Steely Dad Nation by anyone claiming to be injured (or anyone claiming to be six-feet under) as a result of any injury caused by the undersigned or the claimant's property which may occur as a result of my participation. THE UNDERSIGNED FURTHER EXPRESSLY AGREES that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as is permitted by law in the State/Province in which the event is conducted and that if any portion thereof is held invalid it is agreed that the balance shall continue in full force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THIS RELEASE, WAIVER AND INDEMNITY AGREEMENT and further agrees no oral representations and inducements apart from the foregoing have been made. I HAVE READ THIS RELEASE AND AGREE TO ALL CONDITIONS CONTAINED THEREIN. _______________________________________________________________________________ (signature) (print name) (date)