GIRLS ON THE RUN 5K EVENT WAIVER
Consent: I hereby agree to participate in the Girls on the Run® 5k Event, as a
volunteer/runner/spectator. Physical reactions to exercise may include heat-related illness, abnormal
heartbeats, and blood pressure and, in rare instances, events such as heart attacks. While Girls on
the Run takes all reasonable precautions, we can make no guarantees regarding these and
other risks such as contracting known and unknown viruses.
Recognizing the risks of the 5k
event, and in consideration for allowing participation in the 5k event, I hereby release, discharge and
agree to hold harmless, and to indemnify each of the Girls on the Run council conducting the Girls
on the Run program and Girls on the Run International, their owners, directors, affiliates, officers,
contributors, sponsors, employees, contractors, agents and assigns against and from any and all
causes of action, claims, demands, damages, costs, loss of services, expenses, compensation, all
consequential damages and attorneys’ fees (regardless whether pursuant to the laws of any county,
state or country) claimed by, through or on behalf of me related directly or indirectly to the 5k event,
and specifically including any and all claims for personal injuries sustained while participating in the
5k event without regard to negligence or negligent conditions.

In addition, I hereby authorize Girls on the Run, if after a reasonable attempt has been made to
reach a parent, guardian or emergency contact to obtain consent, or if sound medical practice
decrees that there is not time to make such an attempt, to consent to any x-ray examination,
anesthetic, dental, medical or surgical diagnosis or treatment, and hospital care, to be rendered to
me under the general or special supervision and on the advice of any physician or surgeon who may
treat me, and consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or
treatment and hospital care, to be rendered to me by any health care professional who may treat
me. I agree to pay for any such treatment and to reimburse Girls on the Run for all costs and
expenses it may incur related to such treatment.

Photo Release: I hereby grant Girls on the Run®, its National Title Sponsors, its National Sponsors,
and all assigns, licensees, successors in interest, legal representatives, employees, consultants, and
those acting with permission or authority of the aforementioned parties, the absolute, irrevocable and
unrestricted right to use photographs, videos likenesses and audio recordings (including without
limitation all originals, negatives, prints and transparencies or any duplicates or reproductions of the
foregoing) that have been or will be taken of me (collectively, “Images”), in which I may be included
with others, to copyright the same, in the name of Girls on the Run or otherwise; to use, re-use,
publish and republish the same in whole or in part, individually or in conjunction with other
photographs and videos, and in conjunction with any printed matter, in any and all media now and
hereafter known, and for any purpose whatsoever; and to use my name in connection herewith.

Release of Liability: I hereby release and agree to hold harmless Girls on the Run and all
aforementioned entities, from any damages or liability relating to or arising from any use of or
modification, alteration, distortion or other change to any of the Images and/or information gathered,
unless it can be proven that such reproduction were maliciously caused, produced and published for
the sole purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn and indignity. I
hereby waive any claims I may have based on any usage of the Images, information gathered, or
works derived thereof, including but not limited to claims for either invasion of privacy or libel.

From time to time, Girls on the Run sponsors may provide products or offer services to participants.
I understand that I may receive products or service offerings from sponsors of Girls on the Run, and
consent to their provision and my receipt thereof.

I expressly agree that this consent is intended to be as broad and inclusive a release of liability as
permitted by applicable law and that if any provision thereof is held invalid, it is agreed that the
remaining provisions shall, notwithstanding, continue in full legal force and effect. I hereby warrant
and represent that I am 18 years old or older or have my parents’ consent if I am a junior coach; I
have carefully read this consent and agree to its terms and conditions, that before signing this
agreement I had the chance to ask questions; and I am aware that by signing this consent, I assume
all risks and waive and release certain substantial rights that I may have or possess against Girls on
the Run council conducting the Girls on the Run program and Girls on the Run International. To the
extent permitted by applicable law, I hereby irrevocably and unconditionally waive trial by jury in any
legal action or proceeding related to this agreement.
Email *
I have read and agree to the information above *
Date *
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/
DD
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YYYY
Participant's First and Last Name *
Parent or Guardian First and Last Name (if participant is under 18 years of age)
*If applicable
Contact Phone Number *
A copy of your responses will be emailed to .
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