UnitedHealthcare Children’s Foundation
2023 Teddy Bear 5K Run and 1 Mile Walk Event
Release Waiver & Indemnification Form
A signed form must be on file for you to participate in the UnitedHealthcare Children’s Foundation 2023 Teddy Bear 5K Run and 1 Mile Walk Event.
Participant understands that there are risks inherent in participation in the UnitedHealthcare Children’s Foundation (UHCCF) 2023 Teddy Bear 5K Run and 1 Mile Walk (Event) and associated activities to be held at Tivoli Village, (Event Site) on October 7, 2023, including but not limited to suffering from heat exhaustion, heart attack or injury from uneven terrain, all of which risks participant assumes and accepts, and waives all claims of injury to body or property against UHCCF.
Participant acknowledges that UHCCF does not assume responsibility for any injuries, death or damage resulting from these dangers, hazards or risks. I understand that UHCCF in no way represents, or acts as agent for the operation or management of any means of transportation, facilities or other suppliers of goods or services used by the participant during the Event and related activities. I further understand that UHCCF is not responsible or liable for any injury, damage, loss, accident, delay or other irregularity which may affect or be caused by any supplier of any goods or services used by, during or related to the Event and related activities.
The undersigned hereby agree to release, and hold harmless the UHCCF, its directors, officers, agents, volunteers and assignees from and against any claims, damages or liability arising from or related to the undersigned’s participation in the Event and relate events.
Knowing the risks described above, and in voluntary consideration of being permitted to participate in the Event and related activities, the undersigned participant, (and his/her parent(s) or legal guardian(s), if the participant is under the age of 18 years), do hereby execute this release waiver and indemnification for himself/herself, and his/her heirs, successors, representatives, and assigns and agrees to release, indemnify, and hold harmless UHCCF their directors, officers, agents and volunteers for and against any claim which I, the participant, my parents or legal guardian(s) or any other person may have for losses, damages or injuries arising out of or in connection with my participation in the Event and related recreational and educational activities.
Video and Photo Release
During the Event and related activities, the undersigned grants permission to UHCCF to record my participation, appearance, image, likeness and voice on video tape, audio tape, film, photograph or in any other medium. Additionally, UHCCF or its designee may publish the same in any form of publication, including, but not limited to print, electronic, video, or Internet in furtherance of the mission of the UHCCF. The undersigned further waives any right to inspect or approve finished photographs, printed or electronic matter that may be used in conjunction with such publication now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to such use.
The undersigned hereby agree to release, and hold harmless the UHCCF, its directors, officers, agents, volunteers and assignees from and against any claims, damages or liability arising from or related to the use of the photographs.
The undersigned has read this Release, Waiver and Indemnification before signing below and fully understands the contents meaning and impact of this document.