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Greenfield Savings Bank at the Farm

Barre, MA 01005

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$32.80  incl. $2.80 Fee


Waiver

Please read carefully, this document affects your legal rights and is legally binding. By signing this agreement, you are releasing Smoke Crest Farm and Kelly Knower Coaching from ALL LIABILITY and FOREVER GIVING UP ANY CLAIMS THEREFORE.


Smoke Crest Farm and Kelly Knower Wellness Coaching Adult Participant Waiver Release, Indemnification of All claims & Covenant Not to Sue.

 

ASSUMPTION OF RISK- I acknowledge and agree that any participation with Smoke Crest Farm and Kelly Knower Coaching and activities (" Programs") comes with inherent risk including, but in no way limited to : 1. Moderate and severe personal injury. 2. property damage. 3. disability 4. death , and 5. sickness or disease including, without limitation, COVID- 19. I voluntarily accept and assume full responsibility for these risks as well as any and all other risks in participation in these programs. I agree that I have full knowledge of the nature and extent of all such risks and am not relying on all such risks being described in this document.


 Informed Consent and Legal Disclaimer

I hereby acknowledge and affirm understanding and agreement with the above. I understand that by entering my information through this google form online constitutes a legal signature, by checking this box. 

WAIVER, RELEASE, INDEMNIFICATION & COVENANT NOT TO SUE
In consideration of the participation in Programs, I, undersigned, agree that  Smoke Crest Farm and Kelly Knower Coaching, it's officers, directors, agents, employees, volunteers, insurers and representatives ( " Releasees") will not be liable for any personal injury, property damage, disability, death, sickness or disease incurred by myself, my family members, dependents, or guests, including minors, occurring including, but not limited to the negligence of Releasees. I understand that I will be solely responsible for any loss or damage including personal injury, property damage, disability, death, sickness or disease sustained from participation in Programs.


I further agree, on behalf of myself, and any and all legal successors and proxies, to release and HEREBY DO RELEASE, WAIVE AND COVENANT NOT TO SUE releasees from any causes of action, claims, suits, liabilities or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I and any and all legal successors and proxies may have, now or in the future, against Releasees on account of personal injury, property damage, disability, death, sickness, disease or accident of any kind, arising out of or in any way related to participation in Programs, whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to, the negligence of Releasees.


In further consideration of the participation in Programs, I agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, suits, liabilities or cost of any nature whatsoever, including claims of negligence, arising out of or in any way related to participation in Programs by myself, my family members, dependents or guests, including any minors. 

 

 

 

 

 

 

 

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.

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.




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