Waiver Form

Begin the registration process by reviewing and agreeing to the waiver below.

PART A. MANDATORY WAIVER

In consideration of being allowed to participate in any way in Kahlyn’s 5 K Run/5 Block Walk (hereinafter referred as ‘Event’) program, related events and activities, the undersigned acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEE or others, and assume full responsibility for my participation; and 3. Hereby consent to allow my picture and/or voice or likeness to appear in any official documentary, promotional, exclusive television, radio or film coverage of the Event in any manner incidental to my participation in the Event and without compensation to me; and 4. I willingly agree to comply with stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately and; 5. I , for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, HERBY RELEASE AND HOLD HARMLESS the Event organizers, their officers, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the Event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss of damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND AGREE WITH IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

PART B- FOR PARTICIPANTS OF MINORITY AGE (under age 18 at time of entry)

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provide above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in this Event as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Accept the waiver on the next screen.