Read this Acknowledgement of Risk and Waiver of Liability carefully and in its entirety. It is a binding legal document.
If you are under the age of 18, this form must be signed by you as the participant AND by your parent or legal guardian.
I know that participating in the 5k Run/Walk 4 Recovery is a potentially hazardous activity and I should not enter and participate unless I am medically
able and properly trained. I acknowledge and assume any and all risks associated with this event including, but not limited to, traffic on the course
route, falls, contact with other participants, and the condition of the course, including, but not limited to, curbs, cars, uneven pavement, potholes,
rocks, and objects on the course surface.
Knowing and appreciating these risks and in consideration of your acceptance of my entry, I hereby for
myself, my heirs, representatives or anyone else claiming on my behalf, covenant not to sue, and waive, release, and discharge Lane Change, its volunteers, and sponsors, and anyone else acting for or on behalf the 5K Run/Walk 4 Recovery any and all claims of liability for death,
personal injury, or damage of any kind arising out of my participation in this run.
This Acknowledgement of Risk and Waiver of Liability extends to
all claims of every kind whatsoever. I also consent to emergency treatment in the event of injury or illness. I grant full permission to Lane Change and/or
any person or entity authorized by it to use my name, age, date of birth, finish place and finish time in the public domain.
I further grant full
permission for Lane Change to use any photographs, recordings, or any other record of this event for any purpose. My signature acknowledges that I have
read the above waiver and I agree and accept all terms and conditions set forth herein.
My signature acknowledges that I have
read the above waiver and I agree and accept all terms and conditions set forth herein.
Please type your name as acknowledgment of the above waiver.