By signing, you agree, warrant
and covenant as follows:
In consideration of your
accepting this entry, I, the undersigned, intending to be legally bound,
hereby, for myself, my family, my heirs, executors, and administrators, forever
waive, release & discharge any and all rights & claims for damages
& causes of suit or action known or unknown, that I may have against St.
Luke’s Regional Medical Center, Ltd., St. Luke’s $10,000 Weight Loss Challenge,
Ladd Family Pharmacy, volunteers, sponsors, contributors, and organizers &
their officers, directors, employees, agents & representatives, successors,
& assigns, for any and all injuries that may be suffered by me in this
program.
I attest that I am physically
able to complete this program and am aware of the dangers & precautions
that must be taken when taking part in a Weight Loss Challenge. I also agree to
abide by any decision of an appointed medical official relative to my ability
to safely continue or complete the program. I further assume and will pay my
own medical & emergency expenses in the event of an accident, illness,
personal injury or other incapacity regardless of fault or whether I have
authorized such expenses.
Further, I hereby grant full
permission to use any photographs, videotapes, motion pictures, recording, or
any other record of this program for any legitimate purpose at any time. If I
am a winner, I authorize St. Luke’s to release my name and weight loss
information. My registration serves as my permission to receive Challenge
communications only. I understand that my information will not be sold or released
to outside parties and I have the option to decline Challenge communications by
calling or sending written notice to the Challenge Office.
I further understand that there
are no entry refunds, exchanges, transfers or rollovers. REFUND POLICY: Please read all of the requirements and rules of
the Challenge prior to registering as all registrations are NON-REFUNDABLE and
non-transferable to next year’s event, NO exceptions. This policy stays in
effect whether you are injured, have an unexpected business or family
emergency, pregnancy, etc. There are NO exceptions.
I also hereby affirm that I am
eighteen (18) years of age, understand the 2015 Challenge Rules, Regulations and Recommendations, and have read this waiver carefully & understand
it.
