INFORMED CONSENT AND RELEASE: I, the undersigned, voluntarily participate in the referenced activity. I agree and acknowledge that some activities may be of a hazardous nature and/or include physical and/or strenuous exercise or activity and understanding this I state that I have no knowledge of any condition that would prohibit me from safely participating. Please note: The Rotary Club of Moorpark or The Rotary Club of Simi Sunset do not provide any insurance coverage of any kind, for your participation. The Rotary Club of Moorpark and the Rotary Club of Simi Sunset strongly recommend that appropriate insurance be obtained by each participant. I, the undersigned, and in the event the undersigned is under 18 years of age, the undersigned’s parents or guardian, in consideration of the request and permission to participate in the referenced activity, hereby assume full responsibility for all risk of injury or loss which may result from my participation in this activity and hereby AGREE TO DEFEND, INDEMNIFY, HOLD HARMLESS, RELEASE AND FOREVER DISCHARGE the Rotary Club of Moorpark and the Rotary Club of Simi Sunset, the Event Directors, RunSignup.com and the City of Moorpark from any and all acts of negligence and all claims and demands whatsoever, which the undersigned, any third person, or any persons acting under their behalf, have or may have against the Rotary Club of Moorpark or the Rotary Club of Simi Sunset, by reason of any accident, illness, injury to or death of any person or persons, or damage to or loss or destruction of any property arising or resulting directly or indirectly from participation in the referenced activity and occurring during said participation, or any time subsequent thereto. The terms of this release will serve as a release and assumption of risk for my heirs, executors and administrators and for all of my family members.
PERMISSION TO USE PHOTOGRAPHY: I grant the Rotary Club of Moorpark and the Rotary Club of Simi Sunset, at their discretion and free of charge, permission to use still photography of myself or my child(ren) participating in the Mammoth Run for the purpose of publicizing said event.
PERMISSION FOR MEDICAL TREATMENT & TRANSPORT: I hereby grant the Rotary Club of Moorpark, the Rotary Club of Simi Sunset and their agents thereof, permission to summon 911 in the event that myself or my child(ren) require advanced first aid or medical treatment. I further grant permission to transport myself or my child(ren) to a center of advanced care. I grant permission to any and all physicians, surgeons, medical personnel, and emergency medical technicians or paramedics to treat myself or my child(ren) if such treatment is reasonably required.
REFUNDS: I realize that no refunds can be issued for this activity.
By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.
