Sports Team/Group Name *

First Name

Last Name

Main Contact *

First Name

Last Name

(PRODUCT DROP) Address *

This will give us a better understanding of the location for product delivery

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

General Practice/Fitness Time *

What is your "in general" practice or fitness time? Please know that we are understanding if this is not an exact or constant time, but frame of reference.

Hour

Minute

Second

AM PM

Example of Practice/ Fitness Date *

What is your "in general" practice or fitness date/day of the week? Please know that we are understanding if this is not an exact or constant date, but frame of reference.

MM

DD

YYYY

Type of Sports Group *

Outdoor Sports (baseball, track & field, cross country, tennis, etc)

Indoor Sports (Basketball, volleyball, wrestling, gymnastics, indoor hockey, etc)

Water Sports (Swimming, water polo, diving, surfing, rowing, etc)

Gym Class or Fitness Group (Weightlifting, Pilates/Yoga, CrossFit, functional training, calisthenics, aerobics etc)

Combat or Contact Sports (Wrestling, boxing, jiu-jitsu, MMA, karate, etc)

General Age of Athletes *

This gives us a better understanding of the general age range of the group

High School 14-18 yrs.

College 18-30 yrs.

Professional 18-50 yrs.

Other

RAW FARM — RAW ATHLETE PROGRAM VOLUNTARY PARTICIPATION WAIVER AND RELEASE OF LIABILITY *

This Waiver and Release of Liability (“Agreement”) is entered into voluntarily by the undersigned participant (“Participant”) in connection with their participation in the RAW FARM RAW ATHLETE Program (“Program”). 1. Voluntary Participation I acknowledge that I am voluntarily participating in the RAW FARM RAW ATHLETE Program, which provides complimentary samples of raw dairy products and protein powder as part of a wellness initiative for athletic performance and recovery. 2. No Financial Transaction I understand and agree that I will not be charged any fee for participating in the Program, and no payment or other financial transaction is involved. All products received are provided free of charge for educational, promotional, and health awareness purposes only. 3. No Medical Claims or Guarantees I understand that the products provided by RAW FARM are not intended to diagnose, treat, cure, or prevent any disease. 4. Release and Waiver of Liability I hereby release, waive, discharge, and hold harmless RAW FARM, its owners, officers, employees, agents, and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to participation in the Program or use of its products, including personal injury. 5. Promotional Use Consent I grant permission to RAW FARM to use my name, image, and/or likeness in promotional materials, social media, or other marketing content related to the Program, without expectation of compensation. 6. Entire Agreement This document constitutes the entire agreement and supersedes all prior discussions or representations. This Agreement shall be governed by the laws of the State of California. By clicking below, I confirm that I have read and understand this Agreement, and I voluntarily accept and agree to its terms.

I confirm that I have read and understand this Agreement, and I voluntarily accept and agree to its terms.