RELEASE AND WAIVER AGREEMENT BY AGREEING TO THE TERMS OF THIS AGREEMENT YOU ARE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE, IN RELATION TO COVID-19 AND ITS RISKS PLEASE READ CAREFULLY COVID-19 VISITOR RELEASE AND WAIVER AGREEMENT Covid-19 Release and Waiver Agreement (this “Agreement”) for visiting Bethany Calgary (“Facility”) for a period of one year PART I - COVID-19 ACKNOWLEDGEMENTS I HEREBY ACKNOWLEDGE AND AGREE THAT: (a) On each visit to the Facility, I will complete the attached health screening assessment and screening process and will report any irregularities in such screening assessment to the Facility forthwith; and (b) I agree to comply fully with policies and procedures in place at the Facility. PART II – ASSUMPTION OF RISKS, RELEASE OF LIABILITY AND WAIVER– COVID-19 In consideration of the Facility allowing me to visit the Facility for a period of one year from the date of execution of this Agreement, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby acknowledge and agree as follows: (a) I acknowledge that my presence adds increased risk to the residents of the Facility, and that the risk of injury to me and to the residents and staff of the Facility is significant, including the potential for serious personal injury, death or illness resulting from or arising in any way from COVID-19; (b) I am willing to accept full responsibility for this choice as it relates to my own health and wellbeing and that of the residents and staff of the Facility, and agree to assume all responsibility for such risks, and to visit the Facility at my own risk; (c) I acknowledge and agree that the Facility, its subsidiaries and affiliates, and any of their respective directors, officers, shareholders, employees, agents, independent contractors, successors and assigns (hereinafter collectively referred to as the “Releasees”), shall not be liable or responsible in any way for any injury whatsoever or death, which may be suffered by me, or by any other person in contact with me, arising out of COVID-19 and my attendance at the Facility; (d) I waive any and all claims against, and I covenant not to sue, each of the Releasees, for any liabilities or injury whatsoever which may be suffered by me, or by any other person in contact with me, arising out of COVID-19, due to my attendance at the Facility, and I agree that any one or more of the Releasees shall have the right to use this Agreement as a complete bar and defence to any claim or lawsuit brought in contravention of this Agreement; 47921960.2 (e) I agree on behalf of my heirs, successors and family to indemnify, defend, and hold harmless the Releasees from and against any and all losses or damages of any kind whatsoever, including reasonable legal fees, incurred by the Releasees in connection with any third party claim whatsoever brought against or involving any one or more of the Releasees, arising out of the contraction of COVID-19, as a result of or in connection with my attendance at the Facility; (f) I agree that the laws of the Province of Alberta shall apply, and the courts of the Province of Alberta shall have sole and absolute jurisdiction, for any claims arising out of this Agreement. BY SIGNING BELOW, I AM ACKNOWLEDGING THAT I HAVE READ THIS AGREEMENT IN FULL AND THAT I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND THAT I AM SIGNING IT VOLUNTARILY WITHOUT ANY INDUCEMENT, AND I ACKNOWLEDGE THAT I HAVE BEEN PROVIDED THE OPPORTUNITY TO SEEK INDEPENDENT LEGAL ADVICE REGARDING THE EFFECT OF THE TERMS AND CONDITIONS HEREOF AND IF I HAVE NOT OBTAINED INDEPENDENT LEGAL ADVICE, I HEREBY WAIVE THOSE RIGHTS BY SIGNING. Dated at ________________this ___ day of ___________, 20__ Signature______________________ Witness____________________________ _____________________________ ________________________________ (Print Name) (Print Name) 47921960.2