This Program Participant General Release, Authorization to Use Images and Waiver of Liability (this “Release”) is made and given as of the date set forth below (the “Effective Date”) to Dana-Farber Cancer Institute, Inc. (“DFCI”) by the participant named in the signature block below (the “Participant”, “I”, or “my”).

I, the undersigned, wish to participate in the following Program: Dana-Farber Proton Therapy Symposium on September 26, 2026 (the “Program”). In consideration of my being permitted to participate in the Program:

1. I hereby, on behalf of myself, and on behalf of my heirs, executors and assigns, waive, release and forever discharge DFCI, DFCI’s affiliates, and their respective officers, trustees, employees, coordinating groups, volunteers, representatives and agents, and all others in any way associated with the Program (collectively, the “Released Parties”) from any and all liability, claims, damages, or rights of action of whatever nature or description, in equity or at law, present or future, resulting from or relating to my participation in the Program.  This means that I will not sue DFCI or any of the Released Parties, or try to hold them legally or financially responsible, for any harm or injury that might relate to my taking part in the Program.

2. I understand and acknowledge that the goal of the Program is: Join leaders in radiation oncology, medical physics, healthcare operations, and cancer center administration for a multidisciplinary discussion on the merging role of upright proton therapy. This symposium will explore clinical evidence, patient experience, disease-site applications, pediatric considerations, implementation challenges, and future directions for integrating proton therapy into modern cancer care. (the “Goal”). I represent and warrant that my participation in the Program is entirely voluntary. I agree to use good judgment in all aspects of my participation in the Program, to behave appropriately, and to comply with the rules for participation, if any. 

3. I understand and acknowledge that the materials and information shared by the Program are for informational purposes only; the content is not intended as a substitute for professional medical advice, diagnosis, or treatment. I will seek the advice of my physician or other qualified health provider with any questions I may have regarding a medical condition.

4. By participating, I authorize DFCI to photograph or record (video or audio) me at the Program.  I grant Dana-Farber the right to use, re-use and release photographs, videos or audio recordings (collectively, the “Images”) of me for any purpose directly related to the mission or charitable purposes of Dana-Farber, and assign all rights and interests to the Images to DFCI. I understand that Images may be used by Dana-Farber in connection with its advertising, promotional and marketing activities, and for other purposes authorized by Dana-Farber, including, but not limited to, use in direct mail marketing, print advertising, posters, billboard advertising, and the Internet; all without any compensation to me.

5. I acknowledge that the Program activities will take place on the DFCI campus. I acknowledge that DFCI is not responsible for the personal interactions and relationships I may develop through the Program or the activities that I may engage in as part of this Program. I understand that my participation in the Program may expose me to certain risks. I hereby assume and take full responsibility for any and all risk of harm, injury or damage to myself, and/or my property that may be associated with my participation in the Program.

6. This Release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Massachusetts. In the event any clause of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.

I hereby attest that I have read, fully understand, and agree without exception to all the provisions, releases, and waivers outlined in this Release, and that I have agreed knowingly and voluntarily. I understand that this agreement is a legally binding document that limits the legal liability of the Released Parties. I attest, under penalty of fraud, that I am at least 18 years of age.