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Medical Heroes Appreciation 5K Waiver Form    
 
By initialing on your registration form, you agree, warrant and covenant as follows:     
 
I am over the age or 18 or have obtained my parent or guardian's consent as I hereby certify the following: (1) I am physically able to participate in the Medical Heroes 5K and/or have received medical clearance to participate. I acknowledge that my participation in this event is a potentially hazardous activity. The risks include, but are not limited to, those caused by terrain, trail conditions, facilities, temperature, weather, condition of athletes, and actions of other people including, but not limited to, participants, volunteers, spectators, team officials, monitors and producers. (2) In consideration of my application to participate in the Medical Heroes 5K being accepted, I, on behalf of myself, my heirs and assigns, and my estate, hereby waive and forever discharge CISCRP, Stormont Vail Health, the City of Topeka, the event sponsors, event officials, volunteers, affiliates, as well as their agents and employees from any and all claims that may accrue as the result of my participation. (3) I hereby grant CISCRP, Stormont Vail Health, the City of Topeka, and the event sponsors specific permission to freely reproduce, publish, circulate, copyright or otherwise use any and all photographs or video of me and/or my family, taken at the Medical Heroes Appreciation 5K, without payment or any other consideration. (4) I acknowledge that all registration fees and donations are non-refundable and non-transferable. (5) I know that my participation is voluntary and that I am free to stop at any time. 

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The Center for Information and Study on Clinical Research Participation (CISCRP) was founded in 2003, and is a non-profit organization dedicated to engaging the public and patients as partners in the clinical research process. As part of its mission, CISCRP provides a variety of award-winning resources, programs and services that are designed to assist clinical research stakeholders in understanding public and patient attitudes and experiences in research as well as improving volunteer participation experiences and satisfaction.


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