I, the registrant, or parent/guardian of the registrant, a minor, agree that the registrants will abide by the rules of East Boston Neighborhood Health Center (EBNHC) and recognize the possibility of physical injury associated with the New Balance Foundation Let's Get Movin' 5K for Fitness, and in consideration for EBNHC, accepting the registrant for its activity, I hereby release, discharge, and/or otherwise indemnify EBNHC and any affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on the behalf of the registrants as a result of our participation in the event.

Consent for Medical Treatment

As a registrant or Parent or Legal Guardian of the above named registrants, I hereby give my consent for first aid and emergency medical treatment care (prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry). This care may be given under whatever conditions are necessary to preserve life, limb, or well-being of myself or my dependents.

Consent to Photograph and Authorization to Use

I give permission for the East Boston Neighborhood Health Center to take photograph(s), video and film of the registrants. Photography may be used for marketing and art purposes in any medium of advertising, communication, publication or publicity to promote Let's Get Movin' and the East Boston Neighborhood Health Center.