Relief Run Waiver Form
I know that running a road race is a potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by filling up this form, I certify that I am medically able to perform this event, and I am in good health, and I am adequately trained for the distance. I declare that I have read the information about the Community Running Event (available at www.theplasticrunner.com/events/relief-run-event), and agree to abide by it.  I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me during a self-supported event. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed or recommended during this event, and I will abide by all event rules.

Having read this waiver and knowing these facts, I, for myself and anyone entitled to act on my behalf, waive and release The Plastic Runner and Relief Run organisers from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.  I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

I understand that this Community Running Event does not have costs more than the associated donation done through Relief Run, and it is done with the sole purpose to raise awareness about the bushfire situation experienced in Australia, facilitating the space for those willing to join Relief Run.

By completing this form, I agree to all stated above.
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Do you have a pre-existent medical condition? If Yes, please specify. *
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Name and Number of Emergency Contact *
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