I acknowledge that this athletic event is a test (and may be an extreme
test) of a person's
physical and mental limits and carries with it the potential for death, serious injury and property
loss. The
risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants,
volunteers, spectators, coaches, event officials and event monitors,
and/or producers of the event, and lack of
hydration. These
risks are not only inherent to athletics, but are also present for volunteers. I hereby assume all of the risks
of participating and/or volunteering in this event.
I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous
or defective equipment
or property owned, maintained or controlled by them
or because of their possible liability without
fault. I certify that I am or my child is physically
fit, have sufficiently trained to be a
participant in the event
and
have
not been otherwise advised
against
participating by a qualified medical
professional. I acknowledge that
this Accident Waiver,
Release of Liability, and Photo Release form will be used by event holders, sponsors
and organizers, in which I may participate and that it will govern
my actions and responsibilities at said
events. In consideration of my application and permitting me to participate in this event,
I
hereby take action
for myself, my child,
my executors, administrators,
heirs,
next
of kin, successors, and assigns as follows: (A) Waive, Release and Discharge
the City of Folsom and its officers, agents,
employees, volunteers, event holders, event promoters, event sponsors (Whole Foods Market, Palladio at Broadstone and Kaiser
Permanente), event volunteers, event permit grantors, event property owners,
and event participants, from any and all liability for my or my child's death, disability, personal injury, property damage, property
theft, lost income,
or any other losses,
costs or actions
of any kind which hereafter may accrue to me or my child by virtue of my or my child's training
for this event, my or my child's participation in this event, or my or my child's
travel to or from this event; (B) Protect, Defend,
Save, Indemnify, and Hold Harmless
the entities or persons
mentioned above from any and all liabilities or claims made by other individuals or entities as a result of any of my or my child's
actions during this event.
I hereby consent to receive
medical treatment for myself or my child,
which may be deemed advisable
in
the event of injury,
accident and/or illness
during this event. I understand that at this event or related activities, I or my child may be photographed. I agree to allow my or my child's photo,
video or film likeness to be used for any legitimate purpose
by the event holders,
producers, sponsors, organizers and/or assigns. This Accident
Waiver, Release of Liability, and Photo Release shall be construed
broadly
to
provide
a
release
and
waiver
to
the maximum
extent permissible under applicable law.
THE
UNDERSIGNED PARENT
AND NATURAL GUARDIAN OR LEGAL GUARDIAN DOES
HEREBY
REPRESENT THAT
HE/SHE
IS,
IN FACT,
ACTING IN SUCH CAPACITY
AND AGREES
TO PROTECT, DEFEND, SAVE,
INDEMNIFY, AND HOLD HARMLESS
EACH AND ALL OF THE PARTIES REFERRED
TO
ABOVE
FROM
ALL
LIABILITY,
LOSS,
COST,
CLAIM OR DAMAGE WHATSOEVER WHICH MAY BE IMPOSED
UPON SAID PARTIES BECAUSE
OF ANY DEFECT IN OR LACK OF SUCH CAPACITY
TO SO ACT AND RELEASE SAID PARTIES
ON
BEHALF
OF
THE
MINOR
AND
THE PARENTS
OR LEGAL GUARDIAN.
I UNDERSTAND THAT BY AGREEING
TO THIS WAIVER I AM FREEING THE CITY OF FOLSOM
AND ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS
FROM ANY LIABILITY
RESULTING FROM MY OR MY CHILD'S PARTICIPATION IN THE ACTIVITIES AND EVENTS REGISTERED. I RECOGNIZE
THAT THESE ACTIVITIES AND EVENTS CAN BE DANGEROUS TO ME OR MY CHILD AND ACCEPT THOSE DANGERS. I UNDERSTAND THAT IF I AM OR MY CHILD IS INJURED,
THIS RELEASE AND WAIVER WILL BE USED AGAINST ME AND ANYONE ELSE CLAIMING INJURY OR DAMAGE
BECAUSE OF MY OR MY CHILD'S INJURY IN ANY LEGAL ACTION. I ALSO UNDERSTAND THAT NO OFFICER, AGENT, EMPLOYEE,
OR REPRESENTATIVE OF THE CITY OF FOLSOM
IS AUTHORIZED TO MODIFY THIS DOCUMENT.
I CERTIFIY THAT I HAVE PERSONALLY READ AND UNDERSTAND THIS LIABILITY, INDEMNIFICATION AGREEMENT, AND PHOTO RELEASE.
