DriventoRun

continuing the journey

waiver form

ATHLETIC WAIVER AND RELEASE OF LIABILITY

 

In consideration of being allowed to participate in the following driventorunclub event:

 

 

, the undersigned acknowledges, appreciates and agrees that:

 

1.         I know that running is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained.  The risk of injury from the activities involved in the Kentucky Home Marathon is significant, including the potential for permanent paralysis and death, and while training and personal discipline may reduce this risk, the risk of serious injury does exist; and

 

2.         I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Releases or others, and assume full responsibility for my participation; and

 

3.         I agree to abide by any decision of any race official relative to my ability to safely complete the run.  I assume all risks associated with running this event, including, but not limited to, falls, traffic, contact with other participants, the effects of the weather, and contact with anything and everything.

 

4.         I willingly agree to comply with the stated and customary terms and conditions for participation in a distance running event. If, however, I observe any significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest race official immediately; and

 

5.         I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless the Race Directors, other participants, and everyone else, hereinafter referred to as "Releases", with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the Releases or otherwise.

 

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

 

Participant's signature:  __________________________________          

 

Date: _______________

 

Participant's e-mail address: ____________________________________

 

 

Participant's Cell phone number _____________________

 

Participant's printed name and mailing address:

 

___________________________________________

 

___________________________________________

 

___________________________________________

 

Emergency Contact Information:

 

Name: _____________________________________ Telephone Number: ________________________