Waiver terms

1. Signer authority

If the participant is an adult, I confirm that I am the participant and am signing for myself.

If the participant is a minor, I certify that I am the participant's parent or legal guardian or otherwise have legal authority to sign on the participant's behalf. I am not signing for another adult.

I consent to the participant's participation in Highs, Lows & Cannonballs: A T1D Pool Party Fundraiser on October 3, 2026.

2. Voluntary participation and event rules

Participation is voluntary. I understand that the event includes pool and facility activities. I agree that the participant and accompanying family members will follow all facility rules, staff instructions, lifeguard directions, posted rules, check-in requirements, and event instructions.

If the participant is a child, I understand that at least one parent or guardian must be in the pool, not only poolside, and must supervise the child.

I understand that the facility may require a separate venue waiver. This MIDEA waiver does not replace any venue waiver or facility requirement.

3. Assumption of risk

I understand that pool parties and related activities involve risks, including slips, falls, collisions, contact with other participants, water-related injury, illness, property damage, loss of personal items, damage to diabetes devices or supplies, and risks connected with the actions or inactions of other participants, families, volunteers, staff, or attendees.

I understand that people living with type 1 diabetes may have additional risks during swimming and event activities, including blood sugar changes, hypoglycemia, hyperglycemia, device or supply issues, water exposure, delayed recognition of symptoms, and the need to pause activity for checks or treatment.

I voluntarily assume these risks for the participant.

4. Diabetes care and medical responsibility

I understand and agree that no diabetes medical care will be provided by MIDEA LLC, Nader Kasim, event organizers, event helpers, or other attendees.

I remain responsible for my own diabetes care or, if signing for a minor, the participant's diabetes care during the event. This includes blood sugar checks, continuous glucose monitor review, insulin decisions, pump or device management, low treatment, high treatment, snacks, supplies, emergency supplies, and all medical decisions.

MIDEA LLC may provide snacks that can be used for low treatment. These snacks are a convenience only and are not medical care. The participant's family should bring preferred low treatments, snacks, devices, backup supplies, and emergency supplies.

Required pool exits are a scheduling accommodation only. They do not create medical supervision, medical monitoring, or a promise that checks or treatment will occur at a particular time.

5. Emergency medical response

If the participant appears to need urgent help, I authorize MIDEA LLC, event helpers, facility staff, or other responsible adults present to contact emergency medical services or seek emergency assistance.

I understand that event organizers are not providing medical care and may not be able to assess medical needs. I remain responsible for medical costs, emergency transport costs, and follow-up care for the participant.

6. Release, waiver, and indemnification

To the fullest extent permitted by law, I release and agree not to bring claims against MIDEA LLC, Nader Kasim, and their respective members, managers, officers, employees, contractors, volunteers, representatives, event helpers, agents, successors, and assigns for claims, losses, damages, expenses, injuries, illness, property damage, or other harm arising out of or connected with the participant's participation in the event.

To the fullest extent permitted by law, I also agree to hold harmless and indemnify the released parties from claims, losses, damages, costs, or expenses arising out of the participant's actions or omissions, my actions or omissions, or my breach of this agreement.

This release is intended to include claims based on ordinary negligence to the extent permitted by law. It is not intended to release claims that cannot legally be released.

7. Personal property and diabetes supplies

I understand that the participant and family are responsible for personal belongings, including phones, clothing, bags, medical supplies, insulin, pumps, receivers, continuous glucose monitors, meters, test strips, glucagon, snacks, and other diabetes-related items.

I understand that water, humidity, crowding, and activity may damage or affect personal items or diabetes devices. The participant and family are responsible for protecting, storing, and monitoring these items during the event.

8. Acknowledgement

By signing, I confirm that I have read and understand this waiver, am signing voluntarily, understand that this document affects legal rights, and am signing for myself as an adult participant or have legal authority to sign for the minor participant named in this form.

I understand that the participant's family remains responsible for diabetes care and medical decisions, a separate venue waiver may also be required, and photo or video consent is handled separately and is not granted by this waiver.

Important notice

Please read carefully. This is a legally binding agreement. This Waiver of Liability and Photo/Video Release applies to you as the Participant(s) and any minor children under the age of 18 who are participating with you ("Children") for whom you are the parent or legal guardian. This agreement must be submitted before you and/or, if applicable, your Children are allowed to participate in Highs, Lows & Cannonballs: A T1D Pool Party Fundraiser.

I certify on my behalf and, if applicable, on behalf of my Children, that I am the parent or legal guardian of the Children and do hereby consent to my and, if applicable, my Children's participation in Highs, Lows & Cannonballs: A T1D Pool Party Fundraiser (the "Event") at the location and time identified above.

In consideration for my and, if applicable, my Children's opportunity to participate in any of the activities of the Event, I agree personally and, if applicable, on behalf of my Children to the following:

1. Assumption of Risk

I hereby assume all risks associated with such participation for myself and, if applicable, my Children, including risks incidental to my and, if applicable, my Children's participation in recreational activities, risks of personal injury from contact with others, negligent acts of other participants, volunteers, or non-participants, and any other injury or accident that may occur during my and, if applicable, my Children's participation in the Event.

2. Liability Release; Indemnification

To the fullest extent permitted by law, I hereby release, hold harmless and agree to indemnify Breakthrough T1D and its officers, directors, employees, contractors, sponsors, and volunteers (the "Released Parties") from and against any and all claims, causes of action, loss or liability for personal injury or property damage sustained by me or, if applicable, my Children, or for which I or, if applicable, my Children may be liable to any other person, arising out of my or, if applicable, my Children's participation in the Event, including liability arising from negligence (but not gross negligence) on the part of one or more Released Parties. I will not, on my own behalf or, if applicable, on behalf of my Children, initiate any claim, lawsuit, or other legal proceeding against any of the Released Parties, nor join or assist in the prosecution of any claim for money or other damages, on account of injuries, losses, or damages sustained by me or, if applicable, my Children, or other parties in connection with my or, if applicable, my Children's participation in the Event, and I hereby waive any right I may have to do so.

3. Medical Treatment Authorization

I consent to emergency medical care and transportation in the event of my or, if applicable, my Children's illness or injury while participating in the Event. This Waiver and Release extends to liability in any way connected with such emergency medical treatment and transportation.

4. Photo/Video Release

I understand that Breakthrough T1D and its designees may take photographs, make video and/or audio recordings (collectively, "Recordings") of the Event participants, including me or, if applicable, my Children, for possible inclusion in publications and productions publicizing the Event and other uses by Breakthrough T1D in furtherance of its mission.

I authorize Breakthrough T1D and its designees to make and use such Recordings of me and, if applicable, my Children as described above, including the rights to reproduce, print, broadcast, distribute, make available, transmit and display the Recordings in whole or in part, in any media now known or hereafter developed, including, without limitation, Breakthrough T1D's website, social media and YouTube, or to refrain therefrom, in its sole discretion. I agree Breakthrough T1D will be the sole owner, including copyright, of such Recordings and waive any rights, claims, compensation or approval rights relating to or resulting from Breakthrough T1D's use of the Recordings.

Electronic acknowledgement

By checking the acknowledgement and providing my electronic signature, I acknowledge that I have read and agree to all of the terms of the above Waiver of Liability and Photo/Video Release.