Non-Member Waiver Of Liability

NON- MEMBERSHIP WAIVER OF PARTICIPATION
I agree that I am not a member of PACIFICA RUNNERS, (hereinafter "the club"), and I know that running in and volunteering for organized group runs, social events, and races associated with the club are potentially hazardous activities, which could cause injury or death. By my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained.  I agree to abide by all rules established by the club , including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with participating in all club activities, which may include but not limited to: falls, physical contact with other participants/members, volunteers, race personnel, contract service providers, employees, and spectators including the potential contraction of a communicable disease resulting from contact with other participants/members, volunteers, race personnel, contract service providers, employees, and spectators. I assume all risks including: the effects of the weather; high heat and/or humidity; freezing cold temperatures; heavy rain; traffic and the conditions of the road including surrounding terrain.  I further agree to abide by the Center for Disease Control’s (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases, and I attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in any club activities, and personally assume this risk.
I understand that bicycles, skateboards, roller skates and inline skates are not allowed in club organized runs or events.. Having read this waiver and knowing these facts, I, for myself and anyone entitled to act on my behalf, waive and release PACIFICA RUNNERS and the Road Runners Club of America, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the club activities, even though that liability may arise out of negligence or carelessness on the part of the persons or organizations named in this waiver.  
As a non-member, I will abide by Pacifica Runners’ Club Code of Conduct. If I am not presented with a copy of the Club Code of Conduct, I will request a copy from one of the Club Directors.
I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of the club for any legitimate purposes.  I understand that the club does not provide for refunds in the event of cancellations of services, and by signing this waiver, I consent that I am not entitled to a refund if any club activities including events are cancelled.

Sign in to Google to save your progress. Learn more
Email *
DATE: *
Name: *
Parent's Name If Participant Is Under 18 Years: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy