AmrampCARES 5k Fundraising Race

Waiver, Assumption of Risk and Release of Claims for Future Injuries or Death by an Adult Applying to Participate in a Race In consideration of the acceptance of my application for entry in the AmrampCARES 5k Fundraising Race at Powers Farm 592 North Main Street, Randolph, Massachusetts 02368, I, the undersigned, for myself, my heirs, (Name and location of Race) executors, administrators and assigns (jointly and severally referred to as Releasors) hereby waive and release any and all claims for damages, for death or personal injury to me, and/or any loss of property or property damage I may have, or that may subsequently accrue to me, or to my heirs, executors, administrators or assigns, as a result of my participation in the AmrampCARES 5k Fundraising Race . Releasor does hereby discharge and release in advance (Name of Race) the promoters, sponsors, volunteers, the promoting clubs, the event officials, and any towns and/or municipalities involved in or through which the race may cross, as well as their respective agents, boards, counsels, commissions, and any other involved municipalities, and employees and representatives of all of the foregoing, without limitation, from and any and all liability arising out of or connected in any way with my participation in the above-mentioned race, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. Releasor acknowledges that the AmrampCARES 5k Fundraising Race is 3.1 miles (Name of Race) (Number) long and extends up and down hills, through a swamp, grass, and rocky area. My participation is voluntary and done at my own risk. I voluntarily assume all risks of loss, damage or injury that may be sustained while participating in said race. I attest that I am physically fit and sufficiently trained for this kind of event. I agree that medical or other services rendered to me by, or at the instance of, any of the persons or entities mentioned above is not an admission of liability and is not a waiver by any of the persons or entities mentioned above of any right under this waiver and release. I further understand that serious accidents occasionally occur during races, and that participants in racing occasionally sustain mortal or serious personal injuries or property damage as a consequence of such participation. Knowing the risks of racing, I nevertheless agree to assume those risks and to release and hold harmless all of the persons and entities mentioned above who, through negligence or carelessness or otherwise, might be liable to me (or my heirs, personal representatives or assigns) for damages. I attest that myself and equipment I will use in this race are in good condition and suitable for use in the event.I agree to accept and abide by the rules and regulations of the event as established and provided to me by the (officials or promoters of race and/or name of local authority) and to obey the directions of the designated officials. In further consideration of the acceptance of my application for entry in the AmrampCARES 5k Fundraising Race , I grant full permission to the (officials or promoters of (Name of Race) race and/or name of cycling authority) and their agents to use photographs, videotapes and any other record of the race, including my name, likeness and voice for any legitimate purpose. I have read and understand everything written above and I voluntarily sign this waiver and release SecureFee™ Registration Cancellation Insurance is offered in most states. If purchased, your registration may be covered for one of the covered reasons stated in the policy.