WAIVER, RELEASE, HOLD HARMLESS,
AND AGREEMENT NOT TO SUE

I, ______________________ (FULL NAME OF PARENT/LEGAL GUARDIAN), fully understand
that the participation of _______________ (FULL NAME OF CHILD/MINOR) (“Participant”) in
the Turkey Dash 5k and 1k Trot (hereinafter "event ") exposes myself and the Participant to the
risk of personal injury, death, communicable diseases, illnesses, viruses, or property damage. I
hereby acknowledge that myself and the Participant are voluntarily participating in this
event/class/program and I agree to assume any such risks related to that participation.
I hereby release, discharge, and agree not to sue the City of South El Monte for any injury,
death or damage to myself or the Participant, or loss of personal property, arising out of or in
connection with, my or the Participant’s participation in the event/class/program from whatever
cause, including the active or passive negligence of the City of South El Monte or any other
participants in the event/class/program. The parties to this AGREEMENT understand that this
document is not intended to release any party from any act or omission of “gross negligence,”
as that term is used in applicable case law and/or statutory provision.
In consideration for being permitted to participate in the event/class/program, I hereby agree,
for myself, my heirs, administrators, executors and assigns, that I shall indemnify and hold
harmless the City of South El Monte from any and all claims, demands actions or suits arising
out of or in connection with my or the Participant’s participation in the event/class/program.

I HAVE CAREFULLY READ THIS RELEASE, HOLD HARMLESS AND AGREEMENT NOT
TO SUE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT IT IS A FULL
RELEASE OF ALL LIABILITY AND SIGN IT ON MY OWN FREE WILL.

DECLARATION

I, ____________________________________________________, declare under penalty of
perjury under the laws of the State of California that I am the parent or legal guardian of the
Participant. I further declare that I shall indemnify and hold harmless the City of South El Monte
from and against any and all Claims resulting from, incident to, or arising out of the Participant’s
participation in the event/class/program, any and all risks assumed by Participant and myself
above, and/or the breach of any promises, covenants, and/or representations made by me
herein and/or in the above Release.
By: _________________________________
Signature of Parent/Legal Guardian

Name: _______________________________
Printed Name of Parent/Legal Guardian