In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignUp.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.
In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.
By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.
Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.
In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.
As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.
Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.
This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.
By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.
CITY OF HALTOM CITY, TEXAS
Waiver of Liability and Release of Claims
STATE OF TEXAS §
§
COUNTY OF TARRANT §
I, the undersigned adult, a legally competent individual over the age of 18 years of age, hereby
acknowledge that I will be voluntarily participating in the following activity utilizing parks or other
facilities owned by the City of Haltom City, Texas:
I request to voluntarily participate in this activity with the full knowledge and understanding of
the potential harm, accidents, and injuries including death that this activity could cause and do hereby
agree to assume any and all risks attendant to my participation in this activity.
IN EXCHANGE FOR THE RIGHT TO PARTICIPATE IN THE ABOVE DESCRIBED
ACTIVITY, I HEREBY AGREE TO ASSUME ANY AND ALL RISKS ATTENDANT TO SUCH
ACTIVITY, WHETHER OCCURRING ON PUBLIC OR PRIVATE PROPERTY, WHICH MIGHT
AFFECT ME IN ANY MANNER WHATSOEVER, AND HEREBY HOLD HARMLESS, INDEMNIFY
AND RELEASE THE CITY OF HALTOM CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES, AND
ALL OTHER SPONSORS OF THE EVENT, IN BOTH THEIR PUBLIC AND PRIVATE CAPACITIES,
FROM ANY AND ALL CLAIMS OR SUITS FOR ANY HARM, BODILY INJURY, INCLUDING
DEATH, OR PROPERTY DAMAGE THAT MAY OCCUR, AND WAIVE, ON BEHALF OF MYSELF,
MY HEIRS AND MY ESTATE, ANY CLAIMS OR CAUSES OF ACTION AGAINST THE CITY, ITS
OFFICERS, AGENTS, AND EMPLOYEES AND ALL OTHER SPONSORS OF THE EVENT,
ARISING FROM MY PARTICIPATION IN THIS ACTIVITY, INCLUDING DAMAGES, LIABILITY,
CLAIMS, SUITS, DEMANDS OR CAUSES OF ACTION WHICH ARISE FROM THE NEGLIGENT
ACTS OR OMISSIONS OF THE CITY OF HALTOM CITY, ITS OFFICERS, AGENTS, OR
EMPLOYEES AND ALL OTHER SPONSORS OF THE EVENT.
I certify that I have read the foregoing instrument, that I understand its terms and conditions,
that I make this release and waiver voluntarily, and that I have not relied upon any representations
made by the City of Haltom City, or its officers, agents, or employees in signing this release. I further
certify that the execution of this release shall not constitute a waiver by the City of Haltom City of the
defense of governmental immunity, where applicable, or any other defense recognized by the courts
of Texas. I further certify that I understand that in making this waiver of liability and release of claims, I
am making a decision of substantial significance and I am willing to assume such risks and obligation.
AGREED on this _______ day of _________________, 20_____ in Haltom City, Texas.
___________________________________
Printed Name Signature
Date
Address:
Phone:
