City of Upland Firecracker 4th Annual 5K Run

Release of Liability & Assumption of Risk: I, the undersigned, on behalf of myself &/or on behalf of all participants listed above, hereby waive in advance any and all actions or causes of action and claims for injury or property damage which I may have, or which may hereafter accrue to me, my heirs or other successors as a result of my participation in any activity, or activities incidental thereto, (hereinafter referred to as the "activity") sponsored by the City of Upland listed above. This is intended to release and hold harmless the City of Upland and its elected officials, officers, employees, contractors and agents. I understand that I must be in good health prior to participating in the activity. I understand that serious accidents occasionally occur to participants during such an activity, transportation to or from such an activity, and during activities incidental to such an activity. Knowing these risks, I expressly assume those risks and agree that under no circumstances will I nor any of my heirs or successors present any claim or action against the City of Upland. I do hereby give permission for any certified emergency professional or health care professional to administer any type of medical treatment deemed necessary to the participants listed above in case of an emergency and in the event that I cannot be contacted. I have read the foregoing and acknowledge that I am giving up important rights by signing this agreement. Photo Release: I give permission to the City of Upland and RaceWire to photograph myself &/or any of the participants listed above for use in any future City publication at any time, for as long as the City of Upland possesses the photograph, and I acknowledge that neither myself nor any participants listed above will receive any compensation for such use. 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.