Liability Waiver

1.
I acknowledge that my attendance and/or participation in the 2014 Kinetic Fire
Retreat (the “Event”) involves the possibility of physical injury, disability, death,
and/or damage to equipment.

2.
I HEREBY VOLUNTARILY ASSUME THE RISKS OF ATTENDING AND/OR PARTICIPATING IN ANY ACTIVITY
AT OR ASSOCIATED WITH THE EVENT.

3.
In consideration of the all entities allowing me to use and/or participate in the
Event, I hereby state the following:

a. I WAIVE, RELEASE, AND
DISCHARGE Axis Mundi Collective, LLC and/or any of it’s agents,
the Facility and/ or any agents at which the Event
is held, and any other entities that help support the Event from any and all claims, losses,
or liabilities for death, personal injury, partial or permanent disability, property damage,
medical or hospital bills, theft, or damage of any kind, including economic losses, which may
arise by reason of my participation and/or presence at the Event. To the extent possible by
law, I hereby fully waive, release, and discharge all parties notwithstanding their own
negligent acts or omissions or the negligent acts or omissions of others.

b. I agree that I will not
bring any action or claim against any of the parties hereby released for any reason
associated with the Event.

c. I INDEMNIFY AND HOLD HARMLESS
the parties hereby released from any and all claims made or liabilities assessed
against them as a result of my participation in training and/or usage of the Hannon’s Camp America in College Corner, Ohio.

I HEREBY AFFIRM THAT I AM
EIGHTEEN (18) YEARS OF AGE OR OLDER. I HAVE READ THIS DOCUMENT AND I UNDERSTAND
ITS CONTENTS. I ACKNOWLEDGE THE POSSIBLE HAZARDS OF ATTENDING AND/OR PARTICIPATING
AT/IN THE EVENT AND I AM FULLY AND VOLUNTARILY WAIVING ALL LIABILITY THAT MAY ARISE
BY REASON OF THIS PARTICIPATION AFTER FULL CONSIDERATION OF THE RIGHTS I AM WAIVING.
THIS WAIVER IS IN CONSIDERATION OF MY BEING ALLOWED TO PARTICIPATE IN TRAINING AT
THE EVENT.