About this Event/post race breakfast
All proceeds will be donated to:Embrace a Family of Natick and two scholarships to Natick High School students who attended Johnson Elementary. Wally from the Red Sox will be there for pictures starting at 7:30 am. until 8:15 . The price of registration will also waive your fee for entrance for picking apples. There will also be cider, donuts and a bounce house
Participant Waiver for Race Registration
I know that running [volunteering for] a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road [insert any specific risks related to your here, e.g. “the alligators who bask in the sun at the corner of 4th and Sunset St…”’], all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the __________________ [Katie V 5K Run/walk, the city of ______Natick________________, and Belkin Family Lookout Farm & Race coordinator(Robin MacBlane), all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.
Signature:
Date:
Parent’s Signature if under 18 years:
Date:
Waiver of Emergency Medical Treatment
From time to time, medical directors for a race may experience someone that refuses to accept medical assistance or refuses to drop out of the race at the recommendation of medical staff. The following is a sample waiver that race directors and or race medical directors can have a participant sign if they refuse to medical treatment on course or refuse to drop out of an event against the recommendation of medical staff.
(Katie V Spirit Run)
I,______________________________________, the undersigned participant in the above event, acknowledge that I have suffered an injury or illness during said event and have been offered medical assistance and/or transport to a medical facility for said injury. However, I have declined such medical assistance/transport to a medical facility and have willingly elected to continue in the above event with full understanding that my conduct may increase my risk of serious injury or death, including other unknown risks not reasonably foreseeable at this time, and that I willingly agree to assume all risk and accept personal responsibility for my actions and any damages as a result of such injury, including permanent disability or death, and I do hereby release, discharge and covenant to indemnify and not to sue the organizer(s) of said event, its affiliated organizations and sponsors, employees and associated personnel, officers, directors, agents, including the owners and lessors of premises used to conduct the event, and I also agree to save and hold harmless and indemnify each and all parties herein referred to above from all liability, loss, cost, claim or damage whatsoever as a result of my actions referenced herein.
I have read the above waiver/release and understand that I have given up substantial rights by signing this release and sign below voluntarily.
Participant Print Name:
Date:
Participant’s Signature:
Race Number:
Witness Print Name::
Date
Witness’s Signature:
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.
