Hope On The Move

5k Run and Walk, Hope On The Move Waiver & Release Form I,_________________________(print name), acknowledge that my participation in the 5k Hope On The Move involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge One2One Bodyscapes and their respective directors, officers, employees, affiliates, members, agents and representatives, of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the 5k run and walk. If I am an employee of One2One Bodyscapes, I acknowledge that my participation in the 5K Fun Run and Walk is completely voluntary and does not constitute part of my work-related duties. I understand that my decision to participate, or not participate, in this activity will not affect my job status. Signature:______________________________Date:_____________ Signature of Parent:_______________________ Date:______________ (If under 18) Please return completed waiver to One2One Bodyscapes at lhaskell@one2onebodyscapes.com or Mail to 25 Plaza Drive Suite 4, Scarborough, ME. 04074 Attn: Laura Whelan 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.