AGREEMENT TO HOLD HARMLESS <<< When signing up with CryoCare, please use the hardcopy paperwork >>> <<< provided by CryoCare rather than your own printout of this file. >>> I, __________________________________________ (the Client), hereby hold the signer ______________________________________________ of this _____________________________________ Affidavit harmless as a result of any acts or decisions made in respect to the duties created by this agreement, if such decisions or acts are reasonably made and made in my best interests (as I have expressed in my contracts and other writings and statements). I further agree that such hold harmless shall be binding on my heirs and personal representatives. My notarized signature below affirms that I have read and agreed to the statements made herein. ______________________________________ Signature of Client ) STATE OF _____________________________) SS. ) COUNTY OF ____________________________) On this the ________ day of _______________________, 19____, before me, ________________________________________________, the undersigned Notary Public, personally appeared ___________________________________________________________, ___ personally known to me ___ proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument, and acknowledged that s/he executed it. WITNESS my hand and official seal. ____________________________________________________________ Notary's Signature ____________________________________________________________ Printed NOTARY PUBLIC My Commission Expires: My County of Residence is: _____________________ __________________________