* This release must be signed in order to participate in OKA invitation Program

[Appendix 3]

Liability Release

In consideration of the person named below (hereinafter referred to as “I”) being allowed to take part as a participant or volunteer counselor in the Invitation Program for overseas Korean adoptees, hosted by Overseas Koreans Agency (hereinafter referred to as “OKA”), the undersigned acknowledges and agrees to the following provisions of this liability release:

1.I understand and acknowledge that the use of facilities and equipment provided by OKA and participation in the Program involves risks including, but not limited to the following: risk of property damage, bodily injury, including, but not limited to permanent disability, paralysis, and possibly death. These risks may result from a variety of circumstances including, but not limited to, the use or misuse of the facilities and equipment, from the activity itself, from the acts of myself/my family’s or others, including OKA and its agents or from the unavailability of emergency medical care.

2.I assume full responsibility for all risks that may arise out of or result from my/my family’s participation in the Program, including but not limited to those risks described in subsection 1, above.

3.In the event that any damage to equipment or facilities occurs as a result of my or my family’s willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

4.I acknowledge that I have read, know, and agree to all of the policies and procedures relating to my/my family’s participation in the Program. I understand that the safe and proper use of all equipment, facilities or participation in activities is dependent upon carefully following these policies and procedures. I agree to comply with and abide by all OKA rules, regulations and policies. I understand that OKA reserves the right to revoke or terminate my participation in the Program for any violations of these rules, regulations and policies. In the event of such revocation or termination, I understand that I shall not be entitled to any reimburse of any costs I have paid or incurred.

5.I agree that OKA is further released from any claim whatsoever on account of first aid, treatment, or other emergency medical rendered to or on behalf of participant during participation in the Program. I consent to medical treatment for emergencies that occur during or are related to my/my family’s participation in the Program where I am unable to consent to such treatment. I agree that this provision, however, does not obligate any Released Party to provide or arrange for any medical treatment for myself or my family. And also I agree to bear the cost of such emergency treatment and to indemnify and hold OKA harmless there from.

6.I acknowledge that OKA does not provide medical care insurance coverage for participant in the Program, and that I am solely responsible for arranging and paying for any such insurance coverage.

7.I acknowledge that OKA is hereby released of any and all lawsuits, claims, or demands for damages due to personal injury, bodily injury, sickness, death, loss of property, property damage, or any other costs or expenses incurred during the course of, as the result of, or in any way connected with participant in the Program.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AGREEMENT BETWEEN MYSELF AND OKF AND/OR ITS AFFILIATED ORGANIZATIONS. I SIGN THIS DOCUMENT VOLUNTARILY, OF MY FREE WILL. IN DOING SO, I AM NOT RELYING ON ANY REPRESENTATIONS, STATEMENTS, OR INDUCEMENTS OTHER THAN THOSE WHOSE NAME APPEARS IN THE WRITING OF THIS LIABILITY RELEASE.

Name                                                                              

Address                                                                               

Signature                                                                       

Date                                                                               

* This release must be signed in order to participate in the OKA invitation Program

[Appendix 4]