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Please read and acknowledge: In return for allowing me to voluntarily participate in the ‘R.U.Ok’ program, I hereby waive, release and discharge any and all claims against the Cambria or San Simeon Community Services Districts (CSDs), and their employees, agents, and volunteers, for damage or loss resulting from death, personal injury, illness, disability or property loss or damage of any kind which may accrue to me as a result of my reliance on or use of this program. This release is expressly intended to discharge in advance the Cambria and San Simeon CSDs and their employees, agents, and volunteers from and against any and all liability arising out of or connected in any way with this program. This release will apply even though liability may arise out of the negligence or carelessness of those discharged, including their employees, agents and volunteers. This Waiver and Liability Release shall apply to me, as well as any of my heirs, executors or administrators. By my acknowledging below, I hereby acknowledge that I have read this document and fully understand and agree to be bound by its contents.

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