Race Participant Release and Waiver
Assumption of Risk and Waiver of Liability:
I (the "Participant") acknowledge that participating in the WGBH 5k: Run for Public Media (the "Event" or "Race") is a potentially hazardous activity. I also know that there will be traffic near the course route, and I assume the risk of running near traffic on the side walks that are parallel to the Arsenal Street bridge between Boston and Watertown, in the fire lane or other sections of Greenough Boulevard in Watertown, MA, and on any other public or private way or property.
I also assume any and all other risks associated with participating in the Event, including but not limited to, falls, contact with Event participants, staff or spectators, slippery or uneven surfaces, the effect of weather including high heat and/or humidity, all such being known and appreciated by me.
I acknowledge that it is my responsibility to understand the risks and determine whether I am fit to safely complete this event and the precautions I should take. I certify that my physical condition and ability to safely complete the Event have been verified by a licensed medical doctor (except where the latter is in violation of religious principles); and that I am physically fit and have sufficiently trained to complete the Event.
Knowing these facts, and in consideration of your accepting my entry fee or participation in the Event, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release, and discharge the following entities and persons:
WGBH Educational Foundation ("WGBH"), all race sponsors, officials and volunteers, the Commonwealth of Massachusetts and its agencies and departments, (including but not limited to the Department of Conservation and Recreation), the City of Boston and Town of Watertown, MA, Granite State Race Services LLC and all of their respective employees, directors, employees, officers, officials, trustees, volunteers and agents, or anyone acting on their behalf (collectively, the "Released Parties"),
from any and all claims or liability for death, bodily or personal injury, or property damage or loss of any kind or nature whatsoever arising out of, or in the course of, my participation in the Event. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.
Permission to be Recorded. I, further grant WGBH full permission to record and use my name, likeness and voice, my participation in the Event, and all other aspects of the Event ("Recordings"). I further grant, forever, WGBH and its licensees to use any or all portions of the Recordings in any and all media known or later developed, worldwide, for any purpose.
Consent to Treatment, including Treatment for Participants under the age of 18:
In the event of an emergency, I do grant permission to officials of WGBH and other entities assisting in the Event (collectively, "Emergency Entities") to provide onsite medical treatment and if needed, transport me and/or my child/ward to a hospital emergency room for medical or surgical treatment. WGBH also agrees to take every step possible in contacting, as appropriate me or my next of kin or other emergency contact, at the number provided on the registration when any such situation may occur. Whether for myself or as the parent/legal guardian, I give full authorization to Emergency Entities and their medical staff, employees, agents and/or subcontractors to secure medical care or treatment for me or for above named youth. This treatment may include assistance from approved and licensed medical staff providing medical care at the event, the nearest physician, hospital, trained nurse or EMT in the event of illness or injury that requires immediate attention, as determined by the Event staff. In the event that I cannot be contacted, and an emergency has occurred, I give permission to the treating medical institution and/or medical providers to hospitalize and administer the appropriate treatment deemed medically necessary. I grant to Emergency Entities and their medical staff and designees access to my medical records and physicians, as well as other information relating to medical care that may be administered to me due to my participation in the Event. I acknowledge and agree that I am responsible for any payments due to any service providers who furnish any such treatment, including emergency medical transport services, and I authorize the Emergency Entities to provide contact information for me to any medical service provider seeking such payment.
The Race Director reserves the right to reject any entry or Participant. Participant acknowledges that the entry fee paid is non-refundable and non-transferable. Participant acknowledges and agrees that WGBH or the Race Director, may delay or cancel the Event if it/he/she believes the conditions on the race day are unsafe or for other reasonable causes. Should the Event be delayed or cancelled for any reason or cause beyond WGBH's control there shall be no refund of the entry fee or any other costs of Participant in connection with the Event. In no event shall WGBH or any of the Released Parties be liable for consequential or indirect costs or damages of any kind resulting from the Event, participation in the Event, or any delay or cancellation of the Event.
PARTICIPANT HAS READ THE FOREGOING AND INTENTIONALLY AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT.
IF PARTICIPANT IS UNDER AGE 18 HER/HIS PARENT OR GUARDIAN MUST SIGN THIS RELEASE AND WAIVER AGREEMENT.
Participant's Parent or Guardian's signature below certifies that -
a) my daughter/son/ward has my permission to participate in the Event;
b) I have read and understand the above Race Participant Release and Waiver;
c) I intentionally and voluntarily agree to its terms and conditions on behalf of myself and my child or ward;
d) my child or ward is in good physical condition and able to safely participate in the Event;
e) my child or ward will be at least 14 years of age as of the date of the Event.
Printed Name: _________________________
Participating Minor's Name (if Applicable) _____________________
Relationship to Minor ____________________
Date: ___________________, 2018
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