WAIVER OF LIABILITY

STATE OF TEXAS

Titus County

Know all men by these presents that I, the undersigned, a private person, for and in consideration of the privilege of participating in any event sponsored and sanctioned by Northeast Texas Community College and Jordan Home Care Inc., and in recognition that such participation involves certain inherent dangers, do hereby agree to assume the recognized risk to such participation, to include but not limited to, personal injury and even death, and do hereby release the Northeast Texas Community College and Jordan Home Care Inc., its administrators, agents, and employees in both their public and private capacity from any and all liabilities, claims, suits, demands, or causes of action which may arise from my participation as aforementioned.

This release shall be binding upon my successors and heirs.

Signed: __________________________________

Subscribed and swore to me before me, the undersigned authority, on this

________ day of _____________________________, A.D. 19________.

__________________________________________

Notary Public in and for Titus County, Texas