I (sometimes hereinafter “Participant”) hereby acknowledge that I have voluntarily applied to participate in the Paula D. Hodgdon TrailblazHer Walk &
5K (hereafter PDH TrailblazHer Walk & 5K) presented by Geico Local on April 26, 2025, and hereby
agree as follows: I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of
kin, and any legal and personal representatives, executors, administrators, successors and assigns,
hereby make the following contractual representations pursuant to this Waiver and Release of Liability,
Assumption of Risk and Indemnity Agreement:
I. I hereby represent that (1) I am in good health and in proper physical condition to participate in
the PDH TrailblazHer Walk & 5K either as an individual or as a member of a team; and (2) I agree
that it is my sole responsibility to determine whether I am sufficiently healthy enough to participate
in the PDH TrailblazHer Walk & 5K; and (3) I declare that I am able to physically withstand and
cope with the indicated rigors of the PDH TrailblazHer Walk & 5K with or without a reasonable
accommodation. If an accommodation is needed, I will contact the organizers of the PDH
TrailblazHer Walk & 5K at contact@trailblazherwalk.com.
II. I UNDERSTAND AND ACKNOWLEDGE THE PHYSICAL AND MENTAL CHALLENGES
ASSOCIATED WITH A WALK AND RUN EVENT, AND REALIZE THAT TRAIL OBSTACLES AS
WELL WALKING AND RUNNING PORTIONS OF THIS EVENT ARE INHERENTLY
DANGEROUS AND REPRESENT AN EXTREME TEST OF PHYSICAL AND MENTAL LIMITS. I
UNDERSTAND THAT PARTICIPATION INVOLVES RISKS AND DANGERS WHICH INCLUDE,
WITHOUT LIMITATION: THE POTENTIAL FOR SERIOUS BODILY INJURY, PERMANENT
DISABILITY, PARALYSIS AND DEATH; LOSS OR DAMAGE TO PROPERTY; EXPOSURE TO
EXTREME CONDITIONS AND CIRCUMSTANCES; ACCIDENTS, ILLNESS, CHOKING,
CONTACT OR COLLISION WITH OTHER PARTICIPANTS, SPECTATORS, VEHICLES OR
OTHER NATURAL OR MANMADE OBJECTS; DANGERS ARISING FROM ADVERSE
WEATHER CONDITIONS; IMPERFECT COURSE CONDITIONS; WATER, ROAD AND
SURFACE HAZARDS; EQUIPMENT FAILURE; INADEQUATE SAFETY MEASURES;
PARTICIPANTS OF VARYING SKILL LEVELS; SITUATIONS BEYOND THE IMMEDIATE
CONTROL OF THE CHALLENGE ORGANIZERS; OTHER UNDEFINED HARM OR DAMAGE
WHICH MAY NOT BE READILY FORESEEABLE; AND OTHER PRESENTLY UNKNOWN
RISKS AND DANGERS (HEREINAFTER “RISKS”). I UNDERSTAND THAT THESE RISKS MAY
BE CAUSED IN WHOLE OR IN PART BY MY OWN ACTIONS OR INACTIONS, THE ACTIONS
OR INACTIONS OF OTHERS PARTICIPATING IN THE CHALLENGE, OR THE ACTS,
INACTION OR NEGLIGENCE OF THE RELEASED PARTIES DEFINED BELOW, AND I
HEREBY EXPRESSLY ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR ANY
DAMAGES LIABILITIES, LOSSES OR EXPENSES WHICH I INCUR AS A RESULT OF
MYbPARTICIPATION IN THE CHALLENGE. I AM AWARE THAT THESE ACTIVITIES ARE
HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I
AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE
DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL POSSIBILITY OF BODILY
INJURY, DEATH OR PROPERTY DAMAGE, DUE TO THE RISKS WHETHER THE RISKS ARE
KNOWN OR UNKNOWN.

III. I accept sole responsibility for my own conduct and actions while participating in the PDH
TrailblazHer Walk & 5K, and the condition and adequacy of my equipment, such as clothing and
sneakers, and further acknowledge that these items will get muddy and may, at the end of the
event, be in such a state as not to be used again and hold harmless and release the Released
Parties for any items needing repair or replacement.
IV. I hereby authorize any licensed physician, emergency medical technician, hospital or other
medical or health care facility (hereinafter “Medical Provider”) to treat me for the purpose of
attempting to treat or relieve any injuries received by me arising out of or relating to the PDH
TrailblazHer Walk & 5K. I authorize such Medical Provider to perform all procedures deemed
advisable by the Medical Provider in attempt to treat or relieve any such injuries and any related
conditions that may be encountered during the course of attempting to treat or relieve such
injuries I may suffer. I realize that there is a possibility of complication of anesthesia as deemed
advisable during the treatment, and I assume any such risk for and on behalf of myself. I
acknowledge that no warranty is being made as to the results of any medical treatment. I
acknowledge that I will be responsible for the payment of all fees charges and other monetary
items related to such treatment and/or care. I acknowledge that the organizers of the PDH
TrailblazHer Walk & 5K and other Released Parties are not responsible for my medical needs or
any medical treatment of any kind.
V. I grant to the released parties, the right, permission, and authority to use my name, voice, picture,
or photograph, in any broadcast, telecast, commercial advertisement, promotion, or other account
from the PDH TrailblazHer Walk & 5K. I further grant the released parties the right to photograph
and/or videotape me and further to use my face, likeness, voice and appearance in connection
with exhibitions, publicity, advertising and promotional materials without reservation or limitation
and I WAIVE any rights to future compensation to which I might otherwise have been entitled for
such use
VI. I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, I HEREBY RELEASE, WAIVE AND
COVENANT NOT TO SUE AND FURTHER AGREE TO INDEMNIFY, DEFEND AND HOLD
HARMLESS THE FOLLOWING PARTIES: THE ORGANIZERS OF THE PDH TRAILBLAZHER
WALK & 5K; THE UNIVERSITY OF MAINE SYSTEM; THE UNIVERSITY OF SOUTHERN
MAINE; THE TOWN OF GORHAM PARKS AND RECREATION DEPARTMENT; ALL
SPONSORS, ADVERTISERS, EMPLOYEES, CONTRACTORS, AND VOLUNTEERS HIRED
OR USED BY ANY OF THE FOREGOING PARTIES; ALL LAW ENFORCEMENT AGENCIES
AND OTHER PUBLIC ENTITIES PROVIDING SUPPORT FOR THE PDH TRAILBLAZHER
WALK & 5K; AND EACH OF FOREGOING PARTIES’ RESPECTIVE PARENTS,
SUBSIDIARIES AND AFFILIATES, TRUSTEES, OFFICERS, DIRECTORS, PARTNERS,
SHAREHOLDERS, MEMBERS, INSURERS, SUCCESSORS, ASSIGNS, AGENTS,
EMPLOYEES, CONTRACTORS, AND VOLUNTEERS (ALL HEREINAFTER “RELEASED
PARTIES”) WITH RESPECT TO ANY LIABILITY, CLAIM(S), DEMAND(S), CAUSE(S) OF
ACTIONS, DAMAGE(S), LOSS OR EXPENSE (INCLUDING COURT COSTS AND
REASONABLE ATTORNEYS FEES) OF ANY KIND OR NATURE WHICH MAY ARISE OUT
OF, RESULT FROM OR RELATE TO MY PARTICIPATION IN THE PDH TRAILBLAZHER
WALK & 5K, SPECIFICAL INCLUDING CLAIMS FOR LIABILITY CAUSED IN WHOLE OR IN
PART BY THE NEGLIGENCE OF THE RELEASED PARTIES. I AGREE THAT IF, DESPITE
THIS AGREEMENT, I, OR ANYONE ON MY BEHALF MAKES A CLAIM FOR LIABILITY
AGAINST AND OF THE RELEASED PARTIES, I WILL INDEMNIFY, DEFEND AND HOLD
HARMLESS EACH OF THE RELEASED PARTIES FROM ANY SUCH LIABILITY WHICH ANY
MAY BE INCURRED AS A RESULT OF ANY SUCH CLAIM. THIS AGREEMENT EXTENDS TO
ALL ACTS OF NEGLIGENCE BY THE RELEASED PARTIES AND IS INTENDED TO BE AS
BROAD AND INCLUSIVE AS IS PERMITTED BY THE LAWS OF THE STATE OF MAINE.

THIS AGREEMENT IS INTENDED TO BE A COMPLETE AND UNCONDITIONAL RELEASE
OF ALL LIABILITY OF THE RELEASED PARTIES TO THE GREATEST EXTENT ALLOWED
BY LAW.
VII. I hereby warrant that I have read this agreement carefully or have had it read to me; understand
its terms and conditions; acknowledge that I will be giving up substantial legal rights by signing it;
acknowledge that I have signed this agreement freely and voluntarily, without any inducement,
assurance or guarantee; and intend for my signature to serve as confirmation of my complete and
unconditional acceptance of the terms, conditions and provisions of this agreement. This
agreement represents the complete understanding between the parties regarding these issues
and no oral representations, statements or inducements have been made apart from this
agreement. If any provision of this agreement is held to be unlawful, void or for any reason
unenforceable, then that provision shall be deemed severable from this agreement and shall not
affect the validity and enforceability of any of the remaining provision hereof. This agreement
shall be construed and interpreted pursuant to the laws of the State of Maine.
If signed by Parent or Guardian: Parent or Guardian verifies that the dangers of the
activities and the significance of this Waiver and Release of Liability, Assumption of Risk
and Indemnity Agreement were explained to the Participant and that the Participant
understood them. I, the Parent or Legal Guardian of the Participant, agree, in consideration of
my child being permitted to participate the PDH TrailblazHer Walk & 5K, to be bound by the terms
of this Agreement and hereby indemnify, hold harmless, covenant not to sue and release the
Released Parties in the same manner and with the same force and effect as set forth in sections
III and VI above with regard to my child participating in the PDH TrailblazHer Walk & 5K. I grant to
the Released Parties, the right, permission, and authority to use my child's name, voice, picture,
or photograph, in any broadcast, telecast, commercial advertisement, promotion, or other account
from the PDH TrailblazHer Walk & 5K. I further grant the Released Parties the right to photograph
and / or videotape my child and further to use my child's face, likeness, voice and appearance in
connection with exhibitions', publicity, compensation to which I might otherwise have been
entitled for such use.
Consented and agreed to this for the PDH TrailblazHer Walk & 5K taking place on April 26, 2025.

IF PARTICIPANT IS UNDER 18 YEARS OF AGE, PARTICIPANT AND HIS/HER
PARENT OR GUARDIAN MUST SIGN AND INITIAL THIS FORM WHERE
INDICATED.