RELEASE AND HOLD HARMLESS AGREEMENT FOR
SAN BERNARDINO COUNTY AND
ARROWHEAD REGIONAL MEDICAL CENTER FOUNDATION
I, ___________________________________, fully understand that my participation in the Arrowhead Regional
(First Name) (Middle Initial) (Last Name)
Medical Center Foundation 5K Walk-Run & Health Expo (collectively “Event”), including transportation to and
from the Event, exposes me to the risk of contracting COVID-19, personal injury, death or property damage. I am
voluntarily participating in the Event, which includes, but is not limited to walking, running, and other potentially
strenuous physical activities, and I expressly agree to assume the risks associated with my participation in the Event.
In consideration for being permitted to participate in the Event, I release, waive, and forever discharge Arrowhead
Regional Medical Center Foundation, San Bernardino County (including Arrowhead Regional Medical Center), Race
Central, and their respective officers, employees, agents, designees and volunteers (each a “Sponsor” and collectively
“Sponsors”) for any injury (including contracting COVID-19 or death) to me or damage to or loss of my property
arising out of the Sponsors’ negligence in connection with the Event.
In further consideration for being allowed to participate, I agree, for myself, my heirs, administrators, executors and
assigns, to indemnify, defend and hold harmless the Sponsors from any and all claims, damages, demands, actions or
suits arising out of or in connection with my participation in the Event, brought by any third party.
If I am granting permission for a minor to participate, I state that I am the parent or legal guardian of the minor
identified below (“Minor”) with authority to sign this document on Minor’s behalf, and I fully understand that
participation in the Event, which may include walking, running, other strenuous physical activities and transportation
to/from the Event, exposes Minor to the risk of contracting COVID-19, personal injury, death and property damage,
and I, as Minor’s parent or legal guardian, agree to assume and accept full responsibility for any and all risks of
injury (including contracting COVID-19 or death) to Minor resulting from Minor’s participation in the Event. In
consideration for Minor being allowed to participate in the Event, I, individually and on Minor’s behalf, agree to
release, waive, and forever discharge all claims or causes of action that I and Minor may have against the Sponsors
for any and all liability including without limitation any personal injury, property damage, or death, arising out of the
Sponsors’ negligence in connection with the Event.
In further consideration for Minor being allowed to participate, I, individually and as Minor’s parent or guardian,
agree, to indemnify, defend and hold harmless the Sponsors from all claims, damages, demands, actions or suits
arising out of Minor’s participation in the Event, brought by any third party.
Further, I irrevocably grant unlimited permission to Sponsors to take, record, use, reproduce, disseminate and
distribute any and all photographs, videotapes, motion pictures, recordings (including sounds), or any other depiction
of any kind of me and Minor taken at the Event, and I understand I and Minor will not be entitled to any
compensation in connection therewith.
I HAVE CAREFULLY READ THIS RELEASE AND HOLD HARMLESS AGREEMENT. I FULLY
UNDERSTAND ITS CONTENTS AND UNDERSTAND THAT IT IS LEGALLY BINDING ON ME OR, IF
APPLICABLE, MINOR. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN
IT ON MY OWN FREE WILL ON MY BEHALF AND, IF APPLICABLE, AS THE PARENT OR LEGAL
GUARDIAN OF MINOR.
Date: ______________________
Name (Adult): _______________________________ Signature: ________________________________
Name of Minor (if participating): _____________________________________________
Name (Parent/Legal Guardian, if minor participating): ________________________________
Signature of Parent/Legal Guardian (if minor is participating): ______________________________
