APPLICATION RELEASE AGREEMENT I, the adult applicant, in connection with my application to be considered to be the recipient of the “Xtreme Couture GI Foundation” funds, represent and warrant that the answers provided by me on the on-line application questions are true, complete and correct, that I have completed this application honestly and accurately, and I understand, acknowledge and agree that if any of the information in this online application is found to be false or incomplete, this will be grounds for dismissal of myself and any other persons applying to be considered with me (including minor children) from the selection process.

In addition, each of the undersigned (including the adult applicant and any minor children) agrees as follows:

I acknowledge that the Xtreme Couture GI Foundation may not select me for further consideration to be part of the selection process in their sole and absolute discretion. I acknowledge that if I am selected for further consideration, I will be required to complete and sign additional application materials, release forms and other documents. I acknowledge that if I am selected as a potential candidate, I may also be required to submit to medical and other tests and a background check. I acknowledge that Xtreme Couture GI Foundation has no obligation to return any materials submitted by me (including without limitation this application, any documents, photographs and videos submitted by me) as part of the participant selection process whether or not I am selected as a participant.

By signing this application I hereby release, hold harmless and indemnify Xtreme Couture GI Foundation and any of their respective licensees, assignees, parents, subsidiaries or affiliated entities and each of their respective employees, contractors, agents, officers and directors from any and all claims, actions, damages, liabilities, losses, costs and expenses of any kind (including, without limitation, attorneys’ fees arising out of, resulting from, or by reason of my application in connection with the Xtreme Couture GI Foundation application process.

I authorize Xtreme Couture GI Foundation to investigate, access and collect information about me, about any of the statements made by me in my application, any supporting documents and any other document that I have signed or do sign in connection with my application to be selected by Xtreme Couture GI Foundation, or any other written or oral statements I make in connection therewith, and hereby waive all rights of privacy or confidentiality that I might otherwise have in such information. I acknowledge and agree that any such information obtained by Xtreme Couture GI Foundation pursuant to this paragraph or otherwise may be used for purposes of selecting participants, and may be described or otherwise related in and in connection with the selection process, including, without limitation, in promotions, publicity, marketing, and merchandising, and in any other manner. I have read and fully understand this release form, and I agree to abide by and be bound by them and by any eligibility requirements determined by Xtreme Couture GI Foundation in its sole discretion.

I HEREBY CERTIFY THAT ALL OF THE INFORMATION PROVIDED WITHIN THE ONLINEAPPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT ANY FALSE STATEMENT OR MATERIAL OMISSION BY ME MAY LEAD TO MY DISQUALIFICATION FROM PARTICIPATION IN THE SELECTION PROCESS. I HAVE READ EVERYTING CONTAINED IN THE ABOVE APPLICATION RELEASE, I UNDERSTAND AND AGREE TO ALL TERMS CONTAINED HEREIN.