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Event Waiver Form

The waiver form certifies that the participant is medically able to run the marathon distance. It releases the event organizers from any liability for injuries that may occur during the race. The participant also agrees to follow all race rules and allow their health information to be released in case of emergency.

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Rizza Angela Mangalleno
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2K views

Event Waiver Form

The waiver form certifies that the participant is medically able to run the marathon distance. It releases the event organizers from any liability for injuries that may occur during the race. The participant also agrees to follow all race rules and allow their health information to be released in case of emergency.

Uploaded by

Rizza Angela Mangalleno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EVENT WAIVER FORM

I know that running is a potentially hazardous activity. I should not enter and run unless I am
medically able and properly trained. I agree to abide by any decision of a race official relative to
my ability to safely complete the run.

I hereby certify that I am in good health and I have trained to run the distance of the race, which
I am entering. I assume all risks associated with running in this event including, but not limited
to: falls/stumbling, suffering heatstroke, heart attack and other similar risks, contact with other
participants, the effects of weather, including high heat and/or humidity, all such risks being
known and appreciated by me.

Having read this waiver and knowing these facts and in consideration of your accepting my
entry into this marathon, I, for myself and anyone entitled to act on my behalf, waive and release
ABC corp., its officers, directors, agents, volunteers and employees, or other governmental
bodies or locations in which events or segments of events are held, all sponsors, their
representatives and successors, from all claims or liabilities of any kind arising out of my
participation in this event even though that liability may arise out of negligence or carelessness
on the part of the persons named in this waiver.

I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or
any other record of this event for any legitimate purpose. I understand that bicycles,
skateboards, roller skates or inline skates and animals are not allowed in the event and I will
abide by this policy.

I authorize any healthcare provider to release any and all information pertaining to my
healthcare, medical condition and medical treatment as a result of my participation in this event
to the ABC corporation and its staff.

This waiver is executed merely for the purpose of the marathon and will so no further purposes.

Date: _____ / _____ / ______

Participant’s name :___________________________________________

Participant’s signature :________________________________________

Parent Signature (if under 18): __________________________________

Received by: ________________________________________________

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