RUNNERS WAIVER FORM and PACKET PICK-UP.
All Participants must sign a waiver to participate in any event.
Signature required - If under 18, parent’s signature is required.
Signature required race day at Joker Marchant Stadium,
2301 Lakeland Hills Blvd., Lakeland, FL 33805. On Race Day from 7:00 a.m. to
7:45 a.m. NO PACKETS RELEASED WITHOUT PARTICIPANTS AGREEING TO THE WAIVER
FORM.MUST CHECK AGREE BOX TO PARTICIPATE.
I know that participating in
a run or walk event is potentially hazardous. I will not enter and participate unless I am medically able and
properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all
risks associated with the event, including, but not limited to, falls, contact with other participants, the effects of weather including high heat and/or humidity, the conditions of the road and traffic on the course. All of these risks are known and appreciated by me. Having read this waiver and knowing these facts,
and in consideration of your acceptance of my entry,
I, for myself, and anyone
acting on my behalf, waive, release and hold harmless
FITniche Events, Inc., Polk County BOCC, any of their sponsors, all suppliers, all independent sponsors, volunteers,
and all the aforementioned named parties’ respective directors, officers, employees, agents, assigns, representatives
and successors and any
individual or group associated therewith, from and against all claims,
damages, liabilities, costs of expenses, of
any kind, including reasonable attorneys’ fees,
arising out of my participation in this event even though that liability may arise out of my negligence or
carelessness and/or the negligence or carelessness of any individual or organization named in this waiver. If I should suffer injury or illness I authorize officials of the race to use their discretion to have me transported to a medical
facility, and I take full
responsibility for their actions. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, verbal or written
statements, or any other record
of this event, for any legitimate purpose.
I am of legal age, have read this release,
fully understand it, and freely
agree to all of its terms.
MUST CHECK AGREE BOX TO PARTICIPATE.