Register For
McHenry Kiwanis Club Shamrock Shuffle 5K

Mchenry, IL 60050

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$40.00 $35.00 + $4.16 SignUp Fee

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Waiver

Please read this form carefully and be aware that in signing up and participating in Kiwanis Club of McHenry programs and/or events, you will be waiving and releasing all claims for injuries arising out of the programs and/or events, that you or the other named participants might sustain. The terms "I", "me", and "my" also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows: Participant Name(s)ALL OF THOSE LISTED Program Name: Kiwanis Club of McHenry Events/Programs/Clubs. As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and i agree to assume full risk of any injuries, damages or loss which I may sustain as a result of participation in any manner, in any and all activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against Kiwanis Club of McHenry, Volunteers, City of McHenry, Township of McHenry, School District 156, and any and all other participating servants and employees of the governmental bodies and independent contractors, vendors, sponsors, and any and all other persons and entities, of whatever nature, that might be directly or indirectly liable for any injuries that I might sustain while participating in these programs. (the parties described in the preceding sentence are referred to as "release parties" in the remainder of this agreement). I do hereby fully release and discharge Kiwanis Club of McHenry and any and all other released parties, from any and all claims resulting from injuries, damages, losses sustained by anyone, and arising out of our connected with, or in any way associated with my conduct and the activities of these programs. I further understand and agree that the terms such as participation, programs, and activities refer to this agreement, include all exercises and physical movement of any nature while I am participating in these programs and further include the provision or failure to provide proper instruction or supervision, the use of adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in these programs, and transportation to and from any events. I understand the nature of these programs for which I am registering and have read fully and understand this waiver, release and Hold Harmless Agreement. I further understand that any advertisements or warnings of the particular risk of this program that I subsequently receive will be introduced by reference into and become part of this agreement. I grant Kiwanis Club of McHenry permission to use any photographs taken during this event for their website or publications. I agree that I am over 18 and/or the legal guardian of the participant enrolled.




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