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PHOTOGRAPHIC AND RESULTS RELEASE and WAIVER AND RELEASE OF CLAIMS I AGREE THAT ANY AND ALL REPRESENTATIONS MADE AND RELEASES, WAIVERS, COVENANTS, CONSENTS AND PERMISSIONS GIVEN BY ME HEREUNDER ARE GIVEN ON BEHALF OF ME AND ANY AND ALL OF MY MINOR CHILDREN OR PERSONS OVER WHOM I HAVE GUARDIANSHIP PARTICIPATING IN OR ATTENDING THE EVENT. I give my consent and permission to Fatboy 5K, Off N' Running Tours, Race Central, Infinity Timing, its affiliates and races, their sponsors and corporate sponsors, their successors, licensees, and assigns the irrevocable right to use, for any purpose whatsoever and without compensation, (i) any photographs, videotapes, audiotapes, or other recordings of me that are made during the course of this event (the “Event”); and (ii) the results of my participation in this Event (e.g., race time, name, participant number). I understand that (i) my consent to these provisions is given in consideration for being permitted to participate in this Event; (ii) I may be removed from this competition if I do not follow all the rules of this Event; and (iii) I am a voluntary participant in this Event. I am in good physical condition and am solely responsible for my personal health, safety and personal property. I know that this Event is a potentially hazardous activity and I hereby voluntarily assume full and complete responsibility for, and the risk of, any injury or accident THAT may occur during my participation in this Event (INCLUDING, BUT NOT LIMITED TO, MY FUNDRAISING ACTVITIES associated with the event) or while ON THE EVENT PREMISES (COLLECTIVELY, “MY PARTICIPATION”). TO THE FULLEST EXTENT OF THE LAW, I, FOR MYSELF, MY NEXT OF KIN, MY HEIRS, ADMINISTRATORS, AND EXECUTORS (COLLECTIVELY, “RELEASORS”), HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST (I) FATBOY 5K, OFF N' RUNNING TOURS, AND THEIR RESPECTIVE DIRECTORS, OFFICERS, VOLUNTEERS, AGENTS AND EMPLOYEES; (II) ANY EVENT SPONSORS; AND (III) ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS EVENT (COLLECTIVELY, THE “RELEASEES”) FOR ANY INJURY OR DAMAGES I MIGHT SUFFER IN CONNECTION WITH MY PARTICIPATION. THIS RELEASE APPLIES TO ANY AND ALL LOSS, LIABILITY, OR CLAIMS I OR MY RELEASORS MAY HAVE ARISING OUT OF MY PARTICIPATION, INCLUDING BUT NOT LIMITED TO, PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SUCH LOSSES, LIABILITIES, OR CLAIMS BE CAUSED BY FALLS, CONTACT WITH AND/ OR THE ACTIONS OF OTHER PARTICIPANTS, CONTACT WITH FIXED OR NON-FIXED OBJECTS, CONTACT WITH ANIMALS, CONDITIONS OF THE EVENT PREMISES, NEGLIGENCE OF THE RELEASEES, RISKS NOT KNOWN TO ME OR NOT REASONABLY FORESEEABLE AT THIS TIME, OR OTHERWISE. I UNDERSTAND THAT I AM SOLELY RESPONSIBLE AND LIABLE FOR ALL ASPECTS OF MY FUNDRAISING ACTIVITIES ASSOCIATED WITH MY PARTICIPATION, INCLUDING, BUT NOT LIMITED TO, THE SAFE AND LAWFUL CONDUCT OF ANY FUNDRAISING ACTIVITIES. This release extends to claims and facts unknown and unsuspected to exist at the time of executing this release. All rights under Section1542 of the California Civil Code are hereby expressly waived with respect to any of the claims, injuries, or damages described in this release. Section 1542 of the California Civil Code reads as follows: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR.] This Photographic and Results Release and Waiver and Release of Claims (collectively, the “Release”) shall be construed under the laws of the state in which the Event is held. In the event any provision of this Release is deemed unenforceable by law, (i) Inland Counties Health Systems Agency shall have the right to modify such provision to the extent necessary to be deemed enforceable; and (ii) all other provisions of this Release shall remain in full force and effect. I understand that I have given up substantial rights by signing this Release, and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law.

Print out and bring on race day.  PARTICIPANT WAIVER AND RELEASE OF LIABILITY,ASSUMPTION OF RISK AND INDEMNITY AGREEMENTSpecific Event Waiver Form for ADULTS (Age 18 or older)Event Name: _______________________________________________________ Event Date(s): ______________________________________Event Location: _____________________________________________________ Sanction #: ______________________________________For and in consideration of USA Track & Field, Inc. (“USA Track & Field”) allowing me, the undersigned, to participate in the USA Track & Field sanctionedevent described above (the “Event” or “Events”); I, for myself, and on behalf of my spouse, children, guardians, heirs and next of kin, and any legal andpersonal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant tothis Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the “Agreement”);1. I hereby represent that (i) I am at least eighteen (18) years of age or older; (ii) I am in good health and in proper physical condition to participate in theEvent; and (iii) I am not under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to safely participate in theEvent. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event, that I amresponsible for my own safety and well being at all times and under all circumstances while at the Event site.2. I understand and acknowledge that participation in track & field, road running, race walking, cross country, mountain, ultra, and trail running Events isinherently dangerous and represents an extreme test of a person’s physical and mental limits. I understand and acknowledge the risks and dangersassociated with participation in the Event and sport of track & field and related activities, including without limitation, the potential for serious bodily injury,sickness and disease, permanent disability, paralysis and loss of life; loss of or damage to equipment/property; exposure to extreme conditions andcircumstances; contact with other participants, spectators, animals or other natural or manmade objects; dangers arising from adverse weatherconditions; imperfect course or track conditions; land, water and surface hazards; equipment failure; inadequate safety measures; participants of varyingskill levels; situations beyond the immediate control of the Event Organizers; and other undefined, not readily foreseeable and presently unknown risksand dangers (“Risks”). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of othersparticipating in the Event, or the negligent acts or omissions of the Released Parties defined below, and I hereby expressly assume all such Risks andresponsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in any Event.3. I agree to be familiar with and to abide by the Rules and Regulations established for the Event, including but not limited to the Competitive Rules adoptedby USA Track & Field and any safety regulations established for the benefit of all participants. I accept sole responsibility for my own conduct and actionswhile participating in the Event, and the condition and adequacy of my equipment.4. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: USA Track & Field,Inc., its members, member clubs, associations, sport disciplines and divisions; United States Olympic Committee (USOC); the Event Directors, Organizersand Promoters, Sponsors, Advertisers, Coaches and Officials; the Host Organization and the Facility, Venue and Property Owners or Operators uponwhich the Event takes place; Law Enforcement Agencies and other Public Entities providing support for the Event; and each of their respective parent,subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually andCollectively, the “Released Parties” or “Event Organizers”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss orexpense (including court costs and reasonable attorneys fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate in any wayto my participation in the Event, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. Ifurther agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify,defend and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim.I hereby warrant that I am of legal age and competent to enter into this Agreement, that I have read this Agreement carefully, understand its terms andconditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of my spouse, children, guardians, heirs and next ofkin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement withoutany inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms,conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oralrepresentations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or forany reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of anyremaining provisions.Print Name: ________________________________________________ Age: ______ Date of Birth: _______/_______/________ ��������������� Male ���������������Home Address: ___________________________________________________________________________ Home Tel.: (_____) _________________X _____________________________________________________ _______/_______/____________Signature of Participant Date SignedRevised 10/14/2010