PARTICIPATION
WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
In
consideration of the acceptance of this entry, I, the undersigned, intending to
be legally bound, hereby for myself, my heirs, next of kin, executors,
administrators, personal representatives, successors and assigns, do forever waive,
release and discharge, and agree to hold harmless and indemnify, the SOUTH SALEM PRESBYTERIAN CHURCH and/or
its directors, officers, employees, members and operators (including Memorial
Day volunteers, vendors, Super Race Systems, sponsors and their representatives) of and from any
and all liability, claims, actions and possible causes of action (including
negligence), damages or injuries (including personal injury, death or property
damage) whatsoever, that may be sustained by me and my property arising out of or
related to my participation in the South
Salem Memorial Day Races and activities. I attest and verify that I will
participate in this event as a foot race entrant, that I realize there are
risks associated with my participation in this event, that I assume all such
risks, that I am physically fit, and that a licensed Medical Doctor has
verified my physical condition. Further, I hereby grant full permission to any
and all of the foregoing released persons to use photographs, videotapes,
motion pictures, recordings, or any other record of my participation in this
event for any legitimate purpose.
Participant’s Signature: I HAVE READ, UNDERSTAND AND ACCEPT THE
FOREGOING.
In
consideration of the acceptance of this entry, I, the undersigned, intending to
be legally bound, hereby for myself, for my child (named below), and for my and
my child’s heirs, next of kin, executors, administrators, personal representatives,
successors and assigns, do forever waive, release and discharge, and agree to
hold harmless and indemnify, the SOUTH
SALEM PRESBYTERIAN CHURCH and/or its directors, officers, employees,
members and operators (including Memorial Day volunteers, vendors, sponsors and
their representatives) of and from any and all liability, claims, actions and
possible causes of action (including negligence), damages or injuries
(including personal injury, death or property damage) whatsoever, that may be
sustained by me or my child and our property arising out of or related to my and/or my
child’s participation in the South Salem
Memorial Day Races and activities. I attest and verify that I and/or my
child will participate in this event as foot race entrant(s), that we realize
there are risks associated with my and/or my child’s participation in this
event, that we assume all such risks, that I and my child are physically fit, and
that a licensed Medical Doctor has verified my and my child’s physical condition.
Further, I hereby grant full permission to any and all of the foregoing
released persons to use photographs, videotapes, motion pictures, recordings,
or any other record of my and/or my child’s participation in this event for any
legitimate purpose.
The foregoing is
signed on behalf of each child named below. I hereby certify that I am a
custodial parent or legal guardian of the child or children named below and
have all necessary right and authority to sign this agreement on behalf of such
child or children.