Glow Run Registration Liability Waiver
Davis Middle School 5K 2017 Participant Waiver of Liability
In consideration of the acceptance of this entry, I hereby, for myself, my heirs, executors, administrators and assigns, and anyone entitled to act on my behalf, release and discharge the Davis Middle School, school administrators and staff, 5K sponsors, their representatives and successors, promoters, managers, directors, officials, agents, employees, and volunteers of this event and all claims of injury or liabilities of any kind, illness or damages suffered by me, as a result of my participation in or traveling to or from this event. I know that running, walking, riding, or otherwise participating in any manner is a potentially hazardous activity. I should not register and/or enter this event and run, walk, ride, or participate unless I am medically able and properly trained. I agree to abide by any decision of any race official relative to my ability to safely complete the event. I assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, the effects of the weather (including but not limited to high heat or humidity, rain, wind, snow, cold or ice), traffic, the conditions of the road, injury, and/or illness, all such risks being known and appreciated by me, even though the liability may arise out of the negligence or carelessness on the part of the persons named in this waiver. I realize that this is a strenuous event, which requires proper physical conditioning. I hereby certify that I am in such physical condition and good health to allow me to safely participate in this event. I also give my permission for the free use of my name and picture, without any form of compensation to me, in any written account, broadcast, telecast, advertisement or other publicity of this event for any legitimate purpose.
We acknowledge that we have read this Permission and Release form and fully understand its contents and the consequences of signing this form.
Participant Signature ______________________________ Date______________________
Parent Signature _________________________________ (If any participant is 18 or under.) Date____________________