MANDATORY WAIVER & RELEASE FORM

In consideration of King Mango Productions, Inc. accepting this entry and for allowing the Participant to perform in the King Mango Strut in Coconut Grove, Florida, the Participant, Parent(s) and/or Guardian(s), jointly, severally, and intending to legally bind ourselves,our heirs, executors and administrators, do hereby waive, release and discharge the King Mango Productions, Inc., the City of Miami, Miami-Dade County, the owners and managers of any public and/or private facility used for the King Mango Strut, all King Mango Strut sponsors, all King Mango Strut members, staff and volunteers, all supervising or coordinating organizations and all members, agents, employees, representatives, successors and assigns of the above, from any and all liability and/or claims for illness, injuries, death, disfigurement and loss of property that may arise directly or indirectly as a result of participating in the King Mango Strut, or of his/her/their travel to and from event venues.

PLEASE COMPLETE AND SIGN