In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right 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 typical 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.
Snowshoe Shuffle 2 Miler
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.
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.
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.
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right 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, " course conditions, and waive any and all claims which I might have based on any of those and other risks typical 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.
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.
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.
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignUp.com, Good Times Event Services LLC 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.
Shamrock Shuffle 5K
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 typical 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.
I understand that if I have been exposed to or currently have COVID 19 / Corona Virus, I am forbidden from attending the onsite event and will consider my registration virtual. I also understand that if the onsite event were to be forced to cancel by a government entity, my registration will convert to virtual. No refunds will be issued.
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.
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.
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right 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.
Superheroes 5K
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 typical 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.
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.
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.
I certify that I am 18 years of age OR the parent/legal guardian of a minor under 18 years of age and I agree to the following waiver: In consideration of the acceptance of my entry, I for myself, my heirs, executors and administrators, do hereby release and discharge Science Hill Christian, The City of Science Hill, Lake Cumberland Regional Hospital, and all sponsors and associates of this event from any and all claims in said event. I certify that I have full knowledge of the risks involved in participating in this event, and I am physically fit and sufficiently trained to participate in this event. I also release publishing rights of photographs taken of me during the Superheroes 5K for purposes of publicity for this and future events sponsored by Science Hill Christian Church/Lake Cumberland Run/Walk Series. In addition, I release my email address to be added to the Lake Cumberland Run/Walk Series email database.
I understand that the Superheroes 5K has a no refund policy.
Over My Head 5K
In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right 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 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 also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.
In consideration of my entry in the Over My Head 5K, I am intending to be legally bound for myself, my heirs, executors and administrators, and do hereby WAIVE, RELEASE, AND DISCHARGE Beacon Hill Baptist Church, LCRH Journey to Fitness committee and sponsors, Good Times Event Services, LLC organizers, volunteers and sponsors; as well as their respective agents, parent subsidiaries, affiliates, successors and assigns; for ANY and ALL liability, all claims, and damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I also understand and agree that the event may subsequently use for publicity and/or promotional purposes my name, photographs, video or other records of me participating in this event without liability or obligation to me. I have read the entry form and certify compliance with my signature.
REFUND: I also agree that my entry fees, once paid, are non-refundable. I have read the entry form and certify compliance by my signature.
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 my physical condition has been verified by a licensed Medical Doctor. 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 waiver.
The Cool Run At Midnight
In consideration of my entry in the Cool Run 5K at Midnight, I am intending to be legally bound for myself, my heirs, executors and administrators, and do hereby WAIVE, RELEASE, AND DISCHARGE Phoenix Wellness, Cool Run 5K, Lake Cumberland Regional Hospital, Good Times Event Services, RunSignup.com, LLC organizers, U.S.A. Track & Field Inc., Somerset Christian School, Pulaski County School District, Somerset Independent School District, event directors, volunteers and sponsors; as well as their respective agents, parent subsidiaries, affiliates, successors and assigns; for ANY and ALL liability, all claims, and damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I also understand and agree that the event may subsequently use for publicity and/or promotional purposes my name, photographs, video or other records of me participating in this event without liability or obligation to me. I certify as a material condition to my being permitted to enter this race that I am physically fit and have sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. REFUND: I also agree that my entry fees, once paid, are non-refundable. By submitting this entry, I (or a parent/guardian for children under 18 years) acknowledge having read and agreed to the above waiver, certifying compliance by my signature.
Mud Mayhem & Fun
Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge, “Mud, Mayhem and Fun” Waiver and Release of Claims, Assumption of Risk and Warning of Risk
When registering online, my online signature shall substitute for and have the same legal effect as an original form signature. Participation will be denied, if the signature of the Participant or Parent/Guardian are not signed and dated at the time of the event.
Read this document carefully before signing. This document has legal consequences and will affect your legal rights and will eliminate your ability to bring future legal actions.
In consideration for being allowed to participate in the Lake Cumberland 5K Obstacle Challenge, the undersigned (“Participant” or “I”), and I/We, if the Participant is under the age of 18, the Parent/Guardians or legal Guardians of “Participant” hereby expressly agree:
I understand that participating in the – is a hazardous activity that involves an extreme test of physical and mental fitness.
I am full aware of the risks and hazards involved in and arising from participating in the – and that these risks cannot be eliminated without changing the nature and character of the event.
I assume any and all risks and hazards involved in and arising from participation in – including without limitation, the risk of bodily injury, partial or total disability, paralysis or death resulting from falls, contact with other participants or obstacles, or the negligent or intentional acts of other participants, or any defect or condition of the course or completing the obstacles or any effects regarding the weather including high heat or humidity.
I understand that minor injuries, including but not limited to sprains, cuts, scrapes and bruises, are likely to occur.
I understand that major and catastrophic injuries (including but not limited to, broken bones, concussions, spinal injuries and even death) can and may occur.
I agree that Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge does contain obstacles that are dangerous in their nature including mud pits, rope swings, wooden walls, water and mud obstacles as well as steep terrain.
I agree not to participate unless I am physically and mentally fit.
I acknowledge that I do not have any physical or mental conditions that should preclude me from participation and I am NOT participating against medical advice.
I agree that I have not consumed alcohol or ingested any medicine or substance that will inhibit my physical or mental ability to participate safely in Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge.
I agree to abide by the decisions of the race officials regarding my ability to participate in Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge.
I agree to exhibit appropriate behavior and to obey all civil and criminal laws at all times. I understand that my failure to comply with these may lead to my dismissal or removal from the Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge with no refund.
I agree that Phoenix Wellness, Inc. is not responsible for lost or stolen property.
I agree that Phoenix Wellness, Inc. shall have the right and I hereby grant them permission to use and distribute any photographs, motion picture or videos of the Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge for any purpose including advertising and marketing and that these are the sole property of Phoenix Wellness’, Lake Cumberland 5K Obstacle Challenge.
I understand that all entries are final and that there will be no refund of entry fees
I understand that the race officials reserve the right to cancel the event due to extreme weather or circumstances and that if this occurs there will be no refund of entry fees.
I consent to emergency medical care and transport in order to obtain medical treatment in the event of injury to me as medical officials deem appropriate and that I will be responsible for any and all costs associated with such.
I understand that this agreement shall be governed by Kentucky law, without regard to its conflict of law’s provisions.
I understand that if any portion of this Release and Waiver of Claim is deemed invalid or unenforceable under any statute, regulation, executive order or other rule of law such section or provision shall be deemed reformed or deleted, but only to the extent necessary to comply and all other sections or provisions shall remain in full force and effect.
WAIVER, RELEASE AND INDEMNITY
I have read and understand the paragraphs above and understand that participating in an obstacle race is a potentially hazardous activity. I should not enter and participate unless I am medically and physically able, and properly trained. In consideration of entering this 5K Obstacle Race and intending to be legally bound, I do release and waive for myself and for my heirs, executors, and administrators (and for my child as its legal guardian) any claims for any damages and liabilities of any kind arising out of my participation in the event against all persons, entities, and agencies involved with promoting and running the event, including the Phoenix Wellness Inc., Pulaski County Government, Event Volunteers and all Sponsors. I also hereby release all publication rights of any photographs or videography taken at this even. By signing below, I indicate that I agree to abide by this agreement and acknowledge that I ASSUME ALL RISK ASSOCIATED WITH PARTICIPATING IN THIS EVENT.
Signature of Participant: _____________________________________
Parent/Guardian’s Signature (if under 18): __________________________________
Pack The Pantry Relay Race
In consideration of my entry in the Pack the Pantry 4-Mile Relay, I am intending to be legally bound for myself, my heirs, executors and administrators, and do hereby WAIVE, RELEASE, AND DISCHARGE Grace Baptist Church, Lake Cumberland Run/Walk Series committee and sponsors, Good Times Event Services, RunSignup.com, LLC organizers, event directors, volunteers and sponsors; as well as their respective agents, parent subsidiaries, affiliates, successors and assigns; for ANY and ALL liability, all claims, and damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I also understand and agree that the event may subsequently use for publicity and/or promotional purposes my name, photographs, video or other records of me participating in this event without liability or obligation to me. I certify as a material condition to my being permitted to enter this race that I am physically fit and have sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. REFUND: I also agree that my entry fees, once paid, are non-refundable. By submitting this entry, I (or a parent/guardian for children under 18 years) acknowledge having read and agreed to the above waiver, certifying compliance by my signature.
The Lake Cumberland Half & 10K
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right 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 typical 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.
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.
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.
Alton Blakely 5K To Beat Breast Cancer
In consideration of my entry in the Alton Blakley 5K To Beat Breast Cancer, I am intending to be legally bound for myself, my heirs, executors and administrators, and do hereby WAIVE, RELEASE, AND DISCHARGE The Alton Blakley Family Of Dealerships, The City Of Somerset, The Center For Rural Development, Somerset Community College, The American Cancer Society, Good Times Event Services, LLC organizers, volunteers and sponsors; as well as their respective agents, parent subsidiaries, affiliates, successors and assigns; for ANY and ALL liability, all claims, and damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I also understand and agree that the event may subsequently use for publicity and/or promotional purposes my name, photographs, video or other records of me participating in this event without liability or obligation to me. I have read the entry form and certify compliance by my signature. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the competition of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years old) having read and agreed to the above waiver.
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.
Race To Feed Kids 5k
Waiver: Each person participating in the Project 58:10 5K Run/Walk is required to sign this waiver.
I certify that I am 18 years of age OR the parent/legal guardian of a minor under 18 years of age and I agree to the following waiver: In consideration of the acceptance of my entry, I, for myself, my heirs, executors, administrators, and assigns, do hereby release, discharge, and indemnify Project 58:10, the City of Somerset, Lake Cumberland Regional Hospital, and any of said entities’ agents and/or assigns, all who are serving as sponsors and/or associates of this event, from any and all claims which may arise during the event activities in which I am participating, including but not limited to damages, whether personal or property. I certify that I have full knowledge of the risks involved in participating in the events, including, but not limited to, the Race to Feed Kids 5K run/walk event and/or the bike ride event, and I am physically fit and sufficiently trained to participate in said events. I accept all liability and risks involved in the participation in one, or both, of the events. In addition, this waiver shall also serve as a release for publishing rights of photographs taken of me during the Race to Feed Kids 5K, and/or any other part of the events taking place during the Project 58:10 Feed the Kids weekend events for purposes of publicity. I further agree that my email address may be added to the Lake Cumberland Run/Walk Series email database, and I understand that the Race to Feed Kids 5K has a no refund policy.
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.
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.
The Burnside Mile
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignUp.com, Lake Cumberland Runners Inc,Good Times Event Services LLC , City Of Burnside, Burnside Marina, 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 typical 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.
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.
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.
Pilgrimage In The Park
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right 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 typical 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.
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.
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.
Release & Indemnity Agreement: Participating in a distance race is a potentially hazardous activity. I should not enter and participate unless I am medically and physically able, and properly trained. In consideration of entering this 5K Race and intending to be legally bound, I do release and waive for myself and for my heirs, executors, and administrators (and for my child as its legal guardian) any claims for any damages and liabilities of any kind arising out of my participation in the event against all persons, entities, and agencies involved with promoting and running the event, including the Phoenix Wellness Inc., Pulaski County Government, LCRH Journey to Fitness & Lake Cumberland Regional Hospital, Good Times Event Services LLC, and all Sponsors. I also hereby release all publication rights of any photographs or videography taken at this even. By signing below, I indicate that I agree to abide by this agreement and acknowledge that I ASSUME ALL RISK ASSOCIATED WITH PARTICIPATING IN THIS EVENT.
