RELEASE OF LIABILITY (WAIVER) FORM

THE PARTIES. This Release of Liability (“Release”) is made on

(“Releasor”) hereby releases Diesel Workz

RELEASE. The Releasor agrees to hold the Releasee harmless against any and all future claims for the following: [DESCRIBE ACTIVITY BEING RELEASED].

Hereinafter the “Released Activity.”

Compensation. In connection with this Release, there is: (check one)

WAIVER OF CLAIMS. In consideration of the covenants, agreements, and undertakings expressed herein, both parties, including their families, heirs, employees, contractors, agents, and successors, agree to irrevocably release each other from any past, present, or future claims or liabilities without admitting any wrongdoing related to the Released Activity. This waiver settles all disputes related to any potential injuries or damages and is considered legally binding upon its execution and prevents any further claims by any parties or their successors.

GOVERNING LAW. This Release shall be governed under the laws in the state where the Released Activity occurs.

In witness whereof, the Releasor and Releasee authorize this Release on the date indicated below, acknowledging agreement to the terms and conditions of this Release.