WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT SUE PLEASE READ THIS CAREFULLYRelease of Liability and Waiver Agreement • February 24th, 2004
Contract Type FiledFebruary 24th, 2004STREET ADDRESS CITY STATE ZIP AREA CODE HOME TELEPHONE NUMBER DATE OF BIRTH /m/d/y EMAIL ADDRESS TO: BRANDYWINE OUTFITTERS, INC.