2021-winlock-egg-day-5k-scramble-registration-page

Winlock Egg Day 5k Scramble - 2021

I indemnify, hold harmless and defend the Winlock School District and its agents and employees from all suits and actions, including reasonable attorneys’ fees and all costs of litigation and judgment of every name and description against the School District as a result of loss, damage or injury to person or property by reason of my actions or omission by myself for the purpose of the Winlock Egg Day 5K Scramble Run/Walk.

The undersigned, its officers and employees, shall through the signing of this Agreement, indemnify, hold harmless and defend the  Winlock School District     from all suits and actions, including reasonable attorneys’ fees and all costs of litigation and judgment of every name and description against the named individual as a result of loss, damage or injury to person or property by reason of any actions or omission by the Winlock School District, its agents or employees.

I realize that this event is dangerous and could result in serious injury.  I agree to participate at my own risk. 

ADULTS:

I certify that I am physically fit enough to engage in the physical activities I am about to undertake.  I realize that these events contain risks and my participation in these events could lead to injury, permanent disability even up to death.  I agree by my signature on the form that I will indemnify and hold harmless the Winlock School District, its employees, agents, directors and volunteers for any injuries or accidents which occur during my voluntary participation in this event.  

Furthermore, I realize the Winlock School District does not have medical insurance to cover me should I become injured and any expenses, medical or otherwise, that I incur as a result of any injury, will be my personal responsibility.

In case of emergency the supervisor on site has my permission to obtain medical treatment.

MINORS:

My/Our child has permission to participate in the Winlock Egg Day 5k Scramble Run/Walk. 

In case of emergency the supervisor on site has my permission to obtain medical treatment for my child. 

I/We, the undersigned parent(s) understand that there is currently a Washington State mandate requiring facial coverings due to COVID-19. However, we have received a note from our primary physician indicating our son/daughter should not be required to wear a facial covering while participating in this activity due to medical reasons. 

I am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding the Novel Coronavirus Disease (“COVID-19”).  I affirm that neither I, my child, nor any person residing in my household, have been diagnosed with, demonstrated any symptoms of, or have in any way knowingly been exposed to COVID-19, within the past fourteen (14) calendar days. I further affirm that neither I, nor my child, has been notified within the past fourteen (14) calendar days that I, nor any person residing in my household, has been exposed to COVID-19.  I agree that if I, my child, or any person residing in my household, begin to experience symptoms similar to COVID-19, or if I, my child, or any person residing in my household, are notified that I/they have been exposed to or infected with COVID-19 that my child will immediately cease participating in the Activity and notify the District. 

I acknowledge that I am aware that by participating in the Activity, there is a risk of my child being exposed to COVID-19, and/or any mutation or variation thereof, and that this risk may be increased due to my child not wearing a mask.  I am also aware that such an exposure can occur either directly or indirectly whether or not a mask and/or gloves are worn, and that the District cannot guarantee that there will be no exposure to COVID-19. I further acknowledge that while certain individuals are more susceptible to becoming seriously ill if they contract COVID-19 (such as people over 65, people with serious underlying health conditions, and those with compromised immune systems), anyone, including a healthy person, is susceptible to contracting COVID-19. I have independently evaluated and reviewed the risks of my child being exposed to or infected by COVID-19 and have determined to allow my child to participate in the Activity with full knowledge, acceptance, and assumption of the risks, including the risk that my child may expose myself, my household, and others to COVID-19. 

                                                            CAUTION

By signing this assumption of risk and release, we acknowledge that we have read its contents and understand its contents and warnings, and that we agree to its terms.

WAIVER: I, the undersigned participant (and my parent or guardian if I am younger than 18 years of age), intending to be legally bound, do hereby forever release and waive any and all rights, claims, and actions for damages that we, our heirs, executors, administrators, and assigns may have, or that may hereafter accrue against any and all persons, organizations, and other entities associated with the event, including, but not limited to Race Entry, USA Track and Field, sponsors, affiliates, volunteers, Winlock Egg Day 5k Scramble, and individual Winlock Egg Day 5k Scramble organizers, arising out of or in connection with my involvement before, during, or after the event.

I verify that I am physically fit and sufficiently trained to participate in this event and I assume the risks involved in this activity. I further attest that I will be mindful of traffic along the race course, and hold said sponsors and organizers blameless in any harm that may happen.

I consent to the collection and use of my Personal Information as contained in the Privacy Policy. I also give my permission for the free use of my name and/or pictures in telecasts, broadcasts, newspapers, posters, advertising, etc.

I also acknowledge understanding that the charge to my card will show up as Race Entry. I acknowledge that the online processing fees and charitable donations are non-refundable. I also acknowledge that any charitable donations will have 4.97% withheld from the donation to pay credit card and administrative costs.

Race Entry shall not be liable to you for any direct, indirect, special, incidental, consequential or exemplary damages including, but not limited to, loss of profits, goodwill, use, data or other intangible loses. Race Entry does not guarantee the completeness or accuracy of any information contained in, or provided in conjunction with the http://www.raceentry.com website. Race Entry is not responsible for any omissions or inaccuracies, or for the results obtained from this information.

Race Entry facilitates registration for various events, some of which allow participants under the age of thirteen (13). We require a submission of birth date for all registration entries. For children under the age of thirteen (13), parental or guardian consent is required.

You agree that the statutes and laws of the State of Utah, USA, will apply to all matters relating to this Agreement and Waiver. You irrevocably consent that exclusive jurisdiction for any dispute with Race Entry relating to this Agreement and Waiver resides in the courts of Utah, and you further agree and expressly consent to the exercise of personal jurisdiction in the courts of Utah in conjunction with any such dispute including any claim involving Race Entry .



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