Medical Release
ACKNOWLEDGMENT OF RISK, WAIVER& RELEASE – 5K RUN/WALK (THIS FORM MUST BE COMPLETED BY ALL ADULT PARTICIPANTS AGE 18 YEARS & OLDER, For Registration of Minors, Form must be complete by parent/guardian)
By Checking the box below I fully understand and acknowledge that there are inherent risks and dangers in my participation of any physical activity with many participants. I understand that such activities may result in my injury, illness or death. I acknowledge that I am aware of the risks and dangers of participating in the 5K WALK/RUN. If I have a medical condition, I have consulted with my doctor or a medical professional and received approval to particpate in this event. I understand other participants, accidents, forces of nature or other causes may cause these risk and dangers and I hereby fully acknowledge and accept these risk and dangers.
I am in good health and I am able to participate in any strenuous physical activity associated with this activity and understand it is my sole responsibility to consult with my medical provider about my participation.
I agree to and accept full responsibility for wearing appropriate clothing and footwear.
I herewith release, forever discharge and waive any right of recovery or right to sue any persons organizing this event. I assume the cost of any medical treatment that may be required for any injury sustained while participating. This shall be binding on my heirs, successors, assigns, administrators and executors.
Writing your name in this box is the equivalent of signing your name and constitutes a binding contract.
