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No emails or URLs allowed

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I know that running [volunteering for] a trail race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them.  I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the 4h Club and Happily Running LLC. , and all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.  I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

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 ACKNOWLEDGMENT OF RISK, WAIVER& RELEASE (THIS FORM MUST BE COMPLETED BY ALL PARTICIPANTS WHO MUST ALSO BE 18 YEARS & OLDER) I, _________________________________________ the undersigned hereby apply to participate in the Cayuga Challenge – 5K Group Race to be conducted in cooperation with Cornell Cooperative University Extension Association of TOMPKINS County and I acknowledge as follows: I fully understand and acknowledge that there are inherent risks and dangers in my participation in the above activities and my participation in said activities and use of any equipment or other materials related to such activities may result in my injury, illness or death and damage to or loss of my personal property. I acknowledge that I am aware of the risks and dangers of participating in the 5K and or 2K ACTIVITIES. I understand other participants, accidents, forces of nature or other causes may cause these risk and dangers and I hereby fully acknowledge and accept these risk and dangers. I am in good health and I am at or above the minimum age of 18 required to participate in this activity and I am able to participate in any strenuous physical activity associated with this activity and understand it is my sole responsibility to consult with my medical provider about my participation. I agree to and accept full responsibility for wearing appropriate clothing and footwear. I herewith release, forever discharge and waive any right of recovery or subrogation against Cornell Cooperative Extension of TOMPKINS County, Cornell University and their respective officers, directors, trustees, employees, members and volunteers from any and all liability whatsoever for any illness or injury, including death or damage to or loss of my personal property that I may sustain while I am participating in this program. This shall be binding on my heirs, successors, assigns, administrators and executors. Any claims or disputes arising out of my participation in the activity shall first be submitted to arbitration and/or be venued in the Supreme Court of the State of New York of the TOMPKINS County, the choice of which shall be at the sole discretion of CCE. I HAVE READ THE ABOVE AND RELATED DOCUMENTS AND I ACKNOWLEDGE, IF VERIFIED BELOW BY THE INSTRUCTOR, THAT I HAVE HAD THIS DOCUMENT READ TO ME AT MY REQUEST AND BY SIGNING IT I AGREE IT IS MY INTENTION TO PARTICIPATE IN THE INDICATED ACTIVITY AND I UNDERSTAND AND ACCEPT ALL THE RISKS INVOLVED.

Cornell Cooperative Extension Acknowledgement of Risk Form This MUST be completed before either adult or minor may participate.   I hereby grant permission for myself or my child ___________________________________ to participate in the Cayuga Challenge – 5k Group Race activity sponsored by Cornell Cooperative Extension of TOMPKINS COUNTY on the date of April 30, 2017 and acknowledge as follows: I fully understand and acknowledge that there are inherent risks and dangers in my or my child’s participation in the above activities and any use of equipment related to such activities may result in injury, illness, or death, and damage to personal property.  I understand other participants, accidents, forces of nature, or other incidents may cause these risks and dangers and I hereby accept these risks and dangers. Myself or my child are in good health.  I understand that I/he/she will participate in strenuous physical activity. I HAVE READ THE ABOVE AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO GRANT PERMISSION FOR MY CHILD OR MYSELF TO PARTICIPATE IN THE INDICATED ACTIVITY. The above agreement shall be binding on my heirs, successors, assigns, administrators, and executors.  Any claims or disputes arising out of mine or my child’s participating in this activity shall be venued in the Supreme Court of  New York State located in the county of the Extension Office.


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