WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THIS EVENT AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.
I understand that my consent to these provisions is given in consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant in this event, and in good physical condition. I have been advised that I should seek advice from my physician before undertaking this physical exercise. I have either visited with my physician and received doctor's advice and consent to my exercise program or have waived such advice and consent of my doctor, and except any and all risks.
I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT, AND I HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THIS EVENT AND ANY AFFILIATED INDIVIDUALS OR ENTITIES ASSOCIATED WITH THIS EVENT (THE RELEASEES) FROM ANY LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY PARTICIPATION IN THIS EVENT, INCLUDING PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SAME BE CAUSED BY FALLS, CONTACT WITH PARTICIPANTS, CONDITIONS OF THE COURSE, NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
The undersigned declares that in connection with his or her participation in the Dewey’s 20th Anniversary 5k for the benefit of Cincinnati Children’s Hospital Medical Center, the undersigned is (a) a voluntary participant; (b) has not been required to, nor encouraged to participate in the tournament as a term or condition of employment; and (c) is participating in the tournament for the benefit of the designated charity.
The undersigned knowingly and freely assumes all risks, both known and unknown, arising from my participation in the Dewey’s 20th Anniversary 5k, including any such risks arising from the negligence of Dewey’s Pizza, the DewMore Initiative, Cincy R.A.C.E., or other participants and employees.
The undersigned, on behalf of himself or herself, and the undersigned’s spouse, children, dependents or heirs, if any, hereby releases Dewey’s Pizza, its employees, agents, and officers, and all other participants in the Dewey’s 20th Anniversary 5k of any and all claims for injury or damages arising out of the undersigned’s participation in the Dewey’s 20th Anniversary 5k.
if you are a minor (under the age of 18), please have your parent or legal guardian also sign and date this form below giving authorization for you to participate in the Dewey’s 20th Anniversary 5k.