Goblin Valley Ultra Marathon 2018 Ultra Marathon - Marathon - Half Marathon - Kid's 1K Fun Run WAIVER (MUST BE SIGNED) In Consideration of Goblin Valley Ultra Marathon allowing me to participate in any event (the Event or Events); I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the Agreement); I hereby represent that I am in good health and in proper physical condition to participate in the Event. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event. I understand and acknowledge the physical and mental demands associated with participation in a ultra marathon, marathon, half marathon or any other endurance run, and realize that running such Events is inherently dangerous. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; and other situations beyond the immediate control of the Event Organizers. I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event. I agree to be familiar with and abide by the Rules and Regulations established for the Event. I also accept sole responsibility for my own conduct and actions while participating in the Event. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: the Event Organizers and Promoters, Race Directors, Sponsors, Advertisers, Host Cities, Counties and States, Venues and Property Owners upon which the Event takes place, Law Enforcement Agencies and other Public Entities providing support for the Event, and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the Released Parties or Event Organizers), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature (Liability) which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties. I hereby grant full permission to Goblin Valley Ultra Marathon to use any names, photographs, video or other record of this Event for any legitimate purpose at any time. I further understand that there are no guaranteed entry refunds, exchanges, transfers or rollovers, and that Goblin Valley Ultra Marathon, in it's sole discretion, may alter, shorten, delay or cancel the Event if it believes the conditions on the race day are unsafe for reasons including, but not limited to, weather conditions, natural disasters or other causes. I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement.
Name: (Printed) _________________________________________________
Waiver and Release ATTACHMENT D Goblin Valley Ultra Marathon 10/28/2017 This is a Waiver and Release Form for participation in a Division of Utah State Parks and Recreation sponsored event or program. Description of event or program: Injury may result from your participation in this event/program. Additionally, property damage or loss may occur. You are expected to familiarize yourself with the rules of conduct for the event/program as well as Division of Utah State Parks and Recreation policies. You are expected to follow proper operating procedures including safety procedures, plus any directions given by an authorized park or event/program coordinator employee. The undersigned, being at least 18 years of age, and in consideration of participation in a state park event/program as described above here in/after event/program,does hereby agree to this waiver and release. I do hereby agree to assume all risks, which may be associated with or may result from my participation in this event/program, including but not limited to the actual course of activities or while using the facility, parking lots, transportation or access to state park facilities and recreation sites. I recognize that participation in the event/program may involve moderate to strenuous physical activity and may cause physical and or emotional distress to participants. There may also be associated health risks. I state that I am free from any known heart, respiratory or other health problems that could prevent me from safely participating in any of the activities. I certify that I have medical insurance or otherwise agree to be personally responsible for costs of any emergency or other medical care that I receive. I agree to release the State of Utah, Division of Utah State Parks and Recreation and its agencies, departments, officers, employees, agents and all sponsors, officials and staff or volunteers from the cost of any medical care that I receive as a result of participation in the event/program. I further agree to release the State of Utah, Division of Utah State Parks and Recreation and its agencies, departments, officers, employees, agents and all sponsors, officials and staff or volunteers from any and all liability, claims, demands, breach of warranty, negligence, actions, and causes of actions whatsoever for any loss, claim, damage, injury, illness, attorneys fees or harm of any kind or nature to me arising out of my participation in the event/program. This release extends to any claim made by my family, estate, heirs, or assigns arising from or in any way connected with the aforementioned activities.
CONSENT Consent is expressly given, in the event of injury, for any emergency aid, anesthesia and / or operation, if in the opinion of the attending physician, such treatment is necessary. I have carefully read and understand the contents of the foregoing language and I specifically intend it to cover my participation in the above stated event/program.