RACE 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.
DOUBLE BRANCH RACE WAIVER:
WAIVER AND RELEASE OF LIABILITY FOR
PACE CENTER FOR GIRLS’ NEW YEAR’S RESOLUTION RUN PARTICIPANTS
I _________________________________ (“Participant”), understand and acknowledge that participation in the Pace Center for Girls’ New Year’s Resolution Run (“Event”) sponsored by Florida Race Day LLC, a Florida limited liability company at the Double Branch Community Development District (“District”), on behalf of my personal representatives, successors, assigns, and myself, hereby acknowledge and agree as follows:
I understand that neither Florida Race Day LLC nor the Pace Center for Girls Clay are affiliated in any way with the District and that the District does not endorse any such third parties, and that the District makes no representations concerning the qualifications or ability of any such third parties to organize, conduct, or lead the Event.
I acknowledge and willfully accept and voluntarily assume sole responsibility for all risks related to participation in the Event, including, but not limited to, damage to, loss or theft of real or personal property, or other loss or harm of any kind or nature. I acknowledge that I am voluntarily participating in the Event with knowledge of the dangers involved, and agree to assume and accept sole responsibility for my minor child(ren)’s, if applicable, safety and for any and all harm that may occur.
I acknowledge that the District recommends that my minor child(ren), if applicable, and I consult a physician prior to engaging in the Event, and that my minor child(ren), if applicable, and I have either had a physical examination and been given a physician’s approval to participate in the Event or otherwise have elected to participate in the Event; therefore, Participant assumes all risk and responsibility for participation in the Event.
I further acknowledge and agree that participating in the Event may increase my minor child(ren), if applicable, and my exposure to contagions, including but not limited to the COVID-19 virus. I acknowledge that I voluntarily assume all risks associated with such exposure and resulting illness.
By participating in the Event, my minor child(ren), if applicable, and I will fully comply with all of the District’s rules, policies, and orders, which may be amended from time to time, or face ejection from the Facilities.
By signing this Acknowledgment and Release, I also hereby release the District and its Supervisors, officers, staff, employees, agents, assigns and volunteers (“Released Parties”) from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain arising out of or related to, wholly or in part by, my or my child(ren)’s (a) participation in the Event, (b) failure to comply with the District’s rules, policies, and orders, (c) failure to comply with local, state, and federal laws and policies, procedures; or (d) any damage, injury, or illness caused by me or my child(ren) (together, the “Released Claims”).
I also agree to indemnify and hold harmless the Released Parties from the Released Claims, including any and all related costs, attorneys’ fees, liabilities, settlements, and/or judgments. I confirm that I have carefully read this Acknowledgement and Release, fully understand the above conditions, and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child(ren) named below and that I am 18 years of age or older.
DOUBLE BRANCH VOLUNTEER WAIVER:
WAIVER AND RELEASE OF LIABILITY
FOR VOLUNTEER SERVICES
Double Branch Community Development District
This Waiver and Release of Liability (“Release”) is executed by ________________________________ (“Volunteer”), who hereby releases the Double Branch Community Development District (“District”), and its present, former, and future supervisors, staff, officers, managers, lawyers, engineers, employees, representatives, and agents, and all of the successors and assigns of the foregoing (together, “Released Parties”). The Volunteer desires to provide volunteer services for the Pace Center for Girls’ New Year’s Resolution Run (“Event”) sponsored by Florida Race Day LLC, a Florida limited liability company, to be held at the District.
Volunteer understands that the scope of Volunteer’s relationship with the District is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that Volunteer is not an employee of District and has no authority to act on behalf of District except as expressly authorized above; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s involvement in the above-listed activity. The following additional provisions apply:
1. Waiver and Release: In consideration for allowing Volunteer to participate in the above-referenced activity, the sufficiency and adequacy of which are hereby acknowledged by Volunteer, I, the Volunteer, on behalf of myself, my personal representatives and my heirs hereby voluntarily agree to indemnify, defend, release, hold harmless, and forever discharge the Released Parties from any and all liability, claims, lawsuits, actions, suits or demands, whether known or unknown, in law or equity, for any and all loss, injury, damage, theft, real or personal property damage, expenses (including attorney’s fees, costs and other expenses for investigation and defense and in connection with, among other proceedings, alternative dispute resolution, trial court, and appellate proceedings), and harm of any kind or nature arising out of, or in connection with, my participation as a volunteer to the District, including any and all on-site or off-site activities related to the services or properties of the District, and any transportation provided by the District to and from such activities. I expressly acknowledge that I assume all risk for any and all injuries and illness that may result from my participation in any and all of these activities. I understand that the District is not responsible for personal property lost or stolen while participating in these activities.
2. Insurance: Further I understand that District does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property.
3. Medical Treatment: I hereby release and forever discharge the District from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with District.
4. Rules: I further acknowledge and agree that I shall be bound at all times by the terms and conditions of the policies, rules and regulations of the District, as currently in effect and as may be amended from time to time.
5. Other. This Release shall be governed by and interpreted in accordance with the laws of the State of Florida, and is intended to be as broad and inclusive as permitted by the laws of the State of Florida. I agree that if any portion of this Release is deemed invalid, that the remainder will remain in full force and effect. Nothing in this Release shall constitute or be construed as a waiver of the District's limitations on liability contained in section 768.28, Florida Statutes or other statute or law.
I am of legal age (18 years or older) and am freely signing this Release. I have read this Release and understand its terms, and further understand that by signing this document that I am waiving certain legal rights and remedies.
Participant Name:___________________________________________
Date:_____________
Participant Signature:_________________________________________________
(if Participant is 18 years of age or older)
Parent/Guardian Signature:_________________________________________________
(if Participant is a minor child)
Address: __________________________________________________
__________________________________________________________
Phone Number (home): ______________________________________
Phone Number (alternate): ___________________________________
Emergency Contact: _________________________________________
Phone Number: _____________________________________________
NOTE TO STAFF: This form may contain confidential information. do not disclose its contents without first consulting the District Manager.
PRIVACY NOTICE: Under Florida’s Public Records Law, Chapter 119, Florida Statutes, the information you submit on this form may become part of a public record. This means that, if a citizen makes a public records request, the District may be required to disclose the information you submit to us. Under certain circumstances, the District may only be required to disclose part of the information submitted to the District. If you believe that your records may qualify for an exemption under Chapter 119, Florida Statutes, please notify the District Manager.
