RACE ENTRY FORM,
ACCIDENT WAIVER
AND RELEASE OF
LIABILITY
1. I acknowledge that this
athletic event is a 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. I hereby assume all of the risks
of participating 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.
2.
I certify that I am physically fit, have sufficiently trained to be a
participant in the event and have not been advised otherwise by a qualified
medical person.
3.
I acknowledge that this Accident Waiver and Release of Liability (AWRL)
form will be used by event holders, sponsors and organizers, in events in which
I may participate and that it will govern my actions and responsibilities at
said events.
4.
In consideration of my application and permitting me to participate in this
event, I hereby take action for myself, my executors, administrators, heirs,
next of kin, successors, and assigns as follows: (A) Waive, Release and
Discharge the Lycée Français de Chicago,
Oui Run 5K and the City of Chicago, their directors, officers, employees,
volunteers, agents, event holders, event promoters, event sponsors, event
volunteers, event permit grantors, event property owners, and event
participants, from any and all liability for my 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 by virtue of my
training for this event, my participation in this event or my travel to or from
this event; (B) Indemnify and Hold Harmless the entities or persons mentioned
in this paragraph from any and all liabilities or claims made by other
individuals or entities as a result of any of my actions during this event.
5.
I hereby consent to receive medical treatment which may be deemed advisable
in the event of injury, accident and or illness during this event.
6.
I understand that at this event or related activities, I may be
photographed. I agree to allow my photo, video or film likeness to be.
7. IMPORTANT: the organizers of this race do not provide insurance coverage
for injuries that occur at the race. The costs related to those injuries are
the responsibility of the individual participant.
8.
The AWRL shall be construed broadly to provide a release and waiver to the
maximum extent permissible under applicable law.
9.
I hereby certify that I have read this document; and, I understand its
content.
Signature entrant:
Today’s Date:
PARENT/GUARDIAN WAIVER
FOR MINORS (under 18 years old):
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 save and hold harmless and
indemnify 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.
Parent’s Signature if under 18 years: Today’s
Date: