I agree that if I participate in this physical activity, program or event (LEI 5k) or use any Event facility or Event premises, I do so at my own risk. I agree that I am voluntarily participating in the Event and using Event facilities or premises and assume all risk of injury, illness, damage or loss to me or my property that might result, including, without limitation, any loss or theft of personal property. I hereby consent to receive medical treatment in the event of injury, accident and/or illness during the Event. I agree on behalf of myself (and my representatives, heirs, executors, administrators, agents and assigns) to release and discharge Neurosurgery Fitzpatrick Chiari Fund/Foundation (NFCF), Cincinnati Children’s Hospital Medical Center (CCHMC), Queen City Running, GHG Timing, West Chester Township and all sponsors, employees, board members, volunteers successors, assigns, agents, representatives and vendors of the above listed entities; from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that photos taken of the Event may include images of my and may be included in, but not limited to, future print materials and/or website postings. I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against the afore mentioned entities, parents, subsidiaries and affiliates for their negligence. Important: Participants under age 18 must have this form signed by a parent or legal guardian.
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