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Clarkston State Bank Back Roads Half Marathon and 10K 
High Five Races, LLC 
 
By indicating your acceptance, you understand, agree, warrant and covenant as follows: 
 
I acknowledge that this athletic event is an extreme test of a persons physical and mental limits and carries with it the potential for 
death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, 
weather, condition of athlete, lack of hydration, equipment, vehicular traffic, and actions of other people, including but not limited to, 
participants, volunteers, spectators, and event officials. I hereby assume all risks of participation in this event. I acknowledge that 
this Accident Waiver and Release of Liability (AWRL) form will be used by the event director, partners and event sponsors, and that 
it will govern my actions and responsibilities at said event(s). 
 
I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from 
dangerous or defective equipment, property owned, maintained or controlled by them or because of their possible liability without 
fault. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by 
qualified medical personnel. In consideration of my application and permitting me to participate in this event, I hereby take action for 
myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) waive, release, and discharge from 
any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may 
hereafter accrue to me including my travelling to and from this event. The following entities or persons; endurance event directors 
association (EEDA), High Five Races, its Staff, Volunteers, Partners, Sponsors, and all municipal agencies whose property and/or 
personnel are used, and other sponsoring and co-sponsoring company(s), agency(s), or individual(s). (B) Indemnify and hold 
harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result or participation in 
this event, whether caused by the negligence of releases or otherwise. I hereby consent to receive medical treatment which may be 
deemed advisable in the event of injury, accident, and/or illness during this event. I understand that at this event or related activities, 
I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, 
sponsors, and/or assigns. I ALSO UNDERSTAND THAT THE ENTRY FEE IS NON-REFUNDABLE AND ONLY TRANSFERABLE 
UNTIL NOV 1ST. If my check or credit card payment for this event does not go through and High Five Races, LLC or other 
organization is charged a fee from the bank, than I am responsible for the event fee I attempted to pay and a $25 charge. I have 
read and understand the rules for this event and I hereby acknowledge and abide by these rules. This AWRL shall be construed 
broadly to provide a release and waiver to the maximum extent permissible under applicable law. As a participating athlete, I certify 
that all the information provided on my race entry form is true and complete. I have read the pre-race information and this AWRL, 
and certify my compliance by my signature below. PARENT GUARDIAN WAIVER FOR MINORS (LESS THAN 18 YRS OLD) The 
undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and 
agrees to save, hold harmless and indemnify each and all parties referred to above from any and all liability, loss, claim or damage 
whatsoever made as a result of participation in this event. I further certify that the athlete is in good physical condition, and that 
event officials have my permission to authorize emergency medical treatment, if necessary. I certify that the information provided on 
the race entry form is true and complete. I have read the pre-race information and this AWRL, and certify compliance by my 
signature below. 
 
BY INDICATING YOUR ACCEPTANCE OF THIS AGREEEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU 
HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU 
UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU 
ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND 
INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE 
GREATEST EXTENT ALLOWED BY LAW. 
PHOTO RELEASE 
I hereby grant High Five Races permission to use my likeness in a photograph or video in any and all of its publications, including 
website entries, without payment or any other consideration. I understand and agree that these materials will become the property of 
High Five Races. 
I hereby irrevocably authorize High Five Races to edit, alter, copy, exhibit, publish or distribute this photo or video for purposes of 
publicizing High Five Races’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the 
finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or 
other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge High 
Five Races from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any 
other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. 
 
By signing below, I agree to the above waiver 

 
If under 18 years of age, signature of parent or guardian: 

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