I, the undersigned, wish to voluntarily participate in the University of Vermont “WE 4.20 5K for Wellness” event on Sunday, April 20, 2025 to be held at the UVM Athletic Campus 5K Loop.  I understand that participating in this 5K event presents many risks of bodily injury including, but not limited to, strains, sprains, fractures, cuts, bruises and other possible serious bodily injury.

To the best of my knowledge, I am in good health and suffer no disability or condition which renders my participation in this activity medically inadvisable.

I will not possess or use alcohol or other controlled substances while participating in this event.

I consent to the administration of emergency medical treatment on my behalf.  I understand that UVM is not responsible for the payment of any medical attention I require as a result of my participation in this activity.  I agree to be responsible for expenses associated with such care.

I hereby release, relieve and hold harmless the University of Vermont, its trustees, officers, employees and agents from any liability arising out of my participation in this activity.  This waiver is not intended to release liability arising from the sole negligence of the University of Vermont, its trustees, officers, employees or agents. ANYONE UNDER THE AGE OF 18 MUST HAVE THIS FORM SIGNED BY A PARENT OR GUARDIAN. By checking the box below, I acknowledge that I have read this agreement, understand it and agree to abide by it.