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In consideration for being permitted to participate in the Shelly Bridgewater Dreams Foundation Trick or Trot 5K Run/Walk sponsored by the UI Department of OB-GYN/Shelly Bridgewater Dreams Foundation, and to be held in Walcott, Iowa on October 28, 2017, on behalf of myself, my family, my heirs, and my assigns, I hereby release The University of Iowa; the Board of Regents, State of Iowa; the State of Iowa, The Shelly Bridgewater Dreams Foundation, and each of their respective employees, agents and representatives (Releasees) from any and all liability for personal injury, including death, or property loss or damage suffered by me as a result of, arising out of, or in any way involving my participation in this event, except to the extent that such liability results directly from the negligence of the University of Iowa or the Shelly Bridgewater Dreams Foundation, their agents, or their employees.
I acknowledge that I know, understand, and appreciate the inherent risks in participating in a 5K Run/Walk. The risks may include, but are not limited to; trips/falls; potholes, debris, or other irregularities on the course; contact with other participants, strollers, wheelchairs and/or animals on the course; risks associated with vehicular traffic on or near the event route; bodily injury including, but not limited to, sprains, strains, cramps, ligament or cartilage damage, blood pressure or cardiac abnormalities; and property loss or damage. The risks include exacerbation of pre-existing medical conditions. By signing this agreement, I fully assume the inherent risks associated with this activity, and assert that I am voluntarily participating in the event, and I am at least eighteen (18) years of age* and fully competent.
I grant the University of Iowa, The Shelly Bridgewater Foundation, and persons acting for or through them the right to use, reproduce, assign, and/or distribute images, audio and video recordings, and likenesses in any medium whatsoever, of myself, for the purpose of promoting the University of Iowa, The Shelly Bridgewater Foundation, or for any other lawful purpose, without payment to me. The University, its successors and assigns shall own all right, title and interest, including the copyright, to any such image, recording, or likeness.
I hereby release and hold harmless the Board of Regents, State of Iowa; the University of Iowa and the State of Iowa; The Shelly Bridgewater Dreams Foundation; as well as each of their respective agents and employees from any and all claims, including but not limited to claims of infringement, damages or remuneration, for invasion of privacy, defamation, or misappropriation, or otherwise arising from such use.

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Adults--Long sleeve shirt 
Youth--Short sleeve shirt

Donations to the Shelly Bridgewater Dreams Foundation (https://www.shellydreams.com/ ) are directed to the fund at the University of Iowa Foundation to fund our efforts to improve the health and safety of mothers and babies by promoting public awareness, educating medical professionals, funding research efforts, and supporting families affected by pregnancy-related disease. 
  
You may also click here to make a donation to the Shelly Bridgewater Dreams Foundation

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