Please print and give the Release and Waiver form to one of the Board Members.
RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
FOR
MAGIC VALLEY RUNNERS
THIS AGREEMENT is made, entered into, and effective immediately upon execution
hereof by Participant and/or Participant’s Guardian (hereinafter collectively referred to as
“Participant”). Participant hereby states, warrants, and agrees as follows:
1. Participant or, in the case of a minor, Participant’s legal guardian, is of lawful
age of majority (18 years or older).
2. Permission to participate in the Magic Valley Runners club is fair and
adequate consideration for the terms and conditions set forth in this
agreement.
3. Participate has joined this club voluntarily and without undue influence.
Participant is in good health, good physical condition, and is aware of no
medical or legal reason Participant cannot or should not participate.
4. Participant agrees this club involves potentially hazardous activities including,
without limitation, running and physical exertion. Participate hereby assumes
full and complete responsibility for any personal injury, disability, death,
property damage or loss which may occur during or in association with any
and all activities affiliated, directly or indirectly, with this club.
5. Participant hereby waives, releases, agrees to defend, indemnify and hold
harmless the club, its board of directors, agents, officers, members, affiliates,
employees, sponsors, organizers, supporters, its successors and assigns and all
other persons or entities associated directly or indirectly with this club (the
“Releasees”) of and from any and all loss, liability or claim which Participant
may have arising out of participation with this club, including without
limitation, personal injury, disability, death, medical expenses, wages, lost
income, or property damage suffered by Participant, Participant’s guardian,
the undersigned, or others, whether the same be caused by falls, contact with
other participants, conditions of the course, negligence of the Releasees or any
other cause, without limitation.
6. Participant may be removed from the club at any time for any reason.
7. I give my full permission to Magic Valley Runners and any other sponsor of
this club to use any photographs, videotapes, or other recordings of me and/or
my child that are made during the course of participation in this club.
8. This Waiver and Release may be stored electronically and that a copy is valid,
enforceable, authentic and admissible for all purposes.
9. The undersigned agrees that this agreement is intended to be as broad and
inclusive as is permitted by the laws of the State of Idaho and that if any
portion hereof is held invalid, it is agreed that the remainder shall continue in
full legal force and effect.
10. The undersigned has read and voluntarily signs this agreement and further
agrees that no representations, statements or inducements apart from those set
forth in this agreement have been made.
11. Participant hereby covenants not to file suit against the Releasees, their
successors or assigns, or make any claims against the Releasees, for any
claims, without limitation, regardless of fault.
12. This terms and conditions of this agreement shall remain in full force and
effect upon execution hereof and at all times thereafter, regardless of
membership in the club.
13. This agreement shall be binding upon Participant’s heirs, successors, agents
and assigns.
IN WITNESS WHEREOF, I have executed this liability release and waiver.
_________________________ ___________________________________
Date of Birth of Participant Signature of Participant
Name (Print) ________________________
Address ____________________________
Date _______________________________
IF PARTICIPANT IS UNDER 18 YEARS OF AGE:
I, the undersigned, as parent or legal guardian of the above named participant, hereby
knowingly and voluntarily execute this Release of Liability and Indemnity Agreement
with the intent of affirming and making effective all representations made herein by the
Participant. I have fully read and understand the content of this agreement and consent to
the same and on behalf of myself as well as in my authority as the parent or legal
guardian of the above-named Participant.
Signature of Parent or Guardian ______________________________
Name (Print) _____________________________________________
Address: ________________________________________________
________________________________________________
E-mail Address___________________________________________
Phone:__________________________________________________
Date __________________________
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