MARATHON, WALKATHON, TRIATHLON OR ATHLETIC EVENT
AGREEMENT, RELEASE AND WAIVER OF LIABILITY
Name of Event: HAM FESTIVAL CANOE RACE
City of Cadiz, KY
Marathon, Walkathon, Triathalon, Athletic Event
AGREEMENT, RELEASE AND WAIVER OF LIABILITY
In consideration of being permitted to participate in, or assist others in participating in the Ham Festival Canoe Race and related events and activities, on behalf of myself or a minor child or ward, and my or their heirs, next of kin, personal representatives, successors, or assigns:
I. I ACKNOWLEDGE, UNDERSTAND, AND DECLARE THAT:
A. To the best of my knowledge, I am in GOOD PHYSICAL CONDITION and have no disease or injury that would be aggravated by participating in activities related to the Event.
B. Participating in, or assisting others in participating in, the Event may involve RISK OF INJURY TO ME, INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, OR OTHER CONSEQUENCES, which might result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the rules of play, the conditions of the premises, or any equipment used.
C. There may be OTHER RISKS not known or not reasonably foreseeable at this time, and I acknowledge and understand all of the above.
II. I ASSUME ALL OF THE ABOVE RISKS AND RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY, AND AGREE NOT TO SUE The City of Cadiz:
A. Any affiliated subsidiary, successor, organization, related company or business, other participant, sponsoring agency, sponsor, advertiser, or the respective administrators, officers, directors, agents, representatives, employees, or volunteers of such entities or organizations; and
B. Owners, lessors, and lessees of premises used to conduct the Event;
FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE in connection with entry in or arising out of participation in, performance in, or lack of performance in the Event, including travel en route to and from the Event.
III. EMERGENCY MEDICAL TREATMENT
I CONSENT TO ALL EMERGENCY MEDICAL TREATMENT as may be deemed appropriate under the existing circumstances by medical personnel or personnel associated with the Event.
ACKNOWLEDGMENT
I HAVE READ THIS FORM IN ITS ENTIRETY, UNDERSTAND ITS CONTENTS, AND HAVE PROVIDED TRUTHFUL INFORMATION.
PARTICIPANT
Name of Athlete/Participant (Print):
Signature of Athlete/Participant:
Date: __________________________
Participant must sign if 18 years of age or older.
PARENT OR LEGAL GUARDIAN
Required if participant is under 18 years of age.
Name of Parent/Legal Guardian (Print):
Signature of Parent/Legal Guardian:
Date: __________________________
By signing above, I sign individually and in my capacity as the parent or legal guardian of the minor participant.