I certify that I am fully capable of participating in and being a participant of NW Men's Summit being held Oct 2-4, 2026, at Heathman Lodge, Vancouver, WA. Therefore, I assume responsibility for bodily injury, death and loss of personal property and expenses thereof as a result of negligence while participating in the above stated activity, except to the extent such damage or injury can be shown to be due negligence of the Bleeding Disorder Foundation of WA, Heathman Lodge or additional programming partners. I further understand that The Bleeding Disorder Foundation of WA personnel reserves the right to refuse participation for any person judged to be incapable of meeting the rigors and requirements of participating in this activity. I acknowledge that any bodily injury, death, and loss of personal property that occur in breaks between programming, personal free time during the retreat, before the retreat begins, or after it wraps up each day are not the responsibility of BDFWA or other program partners. BDFWA is not responsible for the actions of participants before the retreat begins at 4:00 PM on Oct 2, 2026, or after it ends at 11:00 AM on Oct 4, 2026. Any actions that result from the participant's own decisions outside of the limits of NW Men's Summit programming laid out in the shared agenda are not the responsibility of BDFWA or other programming partners. If you have any questions regarding this statement, please contact the BDFWA office at (206) 533-1660. I have read, understand, and fully accept the terms and conditions stated here and acknowledge that this agreement shall be effective and binding upon the individual who signed below during the entire period of participation in said activity. I agree, for myself and my heirs, to indemnify and hold harmless BDFWA from any loss, claims, action, causes of action, or proceedings of any kind which may be initiated by me or by any other person, entity or organization, including demands, judgments, costs, loss of services, expenses, or reimbursement of counsel fees incurred by BDFWA from activities explained in this waiver. I give permission to BDFWA to obtain on my behalf any emergency