Dinosaur Valley Endurance Run - 2023 Pacer Waiver Form
Required for All Pacers - The pacer needs to fill out this form personally, NOT the racer.
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Email *
Name *
Registered Participant You Are Pacing (List all if multiple, put "available for anyone who needs help" if you are flexible) *
Phone number (we suggest pacers keep a phone on them on the course for emergency situations) *
Name of your Emergency Contact *
Phone Number for your Emergency Contact *
Waiver -  In consideration of pacing a registered participant at this event, I the undersigned, for myself, my heirs, executors, administrators, personal representatives, successors and assigns, assume full and complete responsibility for any injury or accident, which may occur during my participation in the event or while I am on the premises of the event. I hereby release and hold harmless The Active Joe LLC, Dinosaur Valley State Park, Texas Parks and Wildlife, its owners, sponsors, promoters and all other persons and entities associated with the event or their agents or employees, or otherwise. I will not participate unless medically and properly trained. I assume the risk associated with this event, including but not limited to falls, contact with participants, broken bones, possible death, the effects of weather including high heat and/or humidity, and the conditions of the road and trail, all such risks being known and appreciated by me. I grant my permission in case of injury, accident, or illness, for me to be treated by qualified medical personnel or a member or volunteer of the event and I agree to pay for all such treatment. I further grant my permission to use any photographs, videotape, motion pictures, recordings or any other record of this event. I agree to follow all rules on the website and accept that failure to follow these rules will result in disqualification of the registered participant I am pacing and potential future ban for myself from events by The Active Joe.  I have read the forgoing and certify my (my parent’s/guardian’s if under 18 years of age) agreement by clicking the multiple choice agreement option. *
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