In consideration of the foregoing, I, for myself, my heirs, executors, administrators, personal representatives, successors and assigns, waive and release any and all rights, claims, and causes of action I have or may have against the Fleet Feet Jackson and its affiliates, their agents, employees, volunteers, officers, directors, successors and assigns, Fleet Feet Jackson, and any and all sponsors, their representatives and successors, that may arise as a result of my participation in the 2021 Trail Clinic. I attest and verify that I am physically fit and a licensed medical doctor has verified my physical condition. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose, including commercial advertising, email, and social media without monetary payment to me. (This information is protected by the Privacy Act.).
I am aware that the COVID-19 pandemic creates additional risks of participation in the Training Group. I acknowledge that by participating in the Training Group, I risk exposure to the novel coronavirus and/or development of COVID-19. I acknowledge that I am voluntarily choosing to participate in the Training Group and have considered those risks. I expressly and specifically assume such risks associated with the novel coronavirus and/or COVID-19, including any and all risk of injury, harm, or loss that may incur as result of participating in the Training Group.
By signing this document, I certify that (1) I have not traveled out of the country or been in close contact with anyone who has traveled out of the country within the past 14 days; (2) I have not had close contact or cared for someone diagnosed with COVID-19 within the last 14 days; (3) I have not experienced any cold or flu-like symptoms (cough, fever, headaches, muscle aches, rashes) in the last 14 days. I understand and agree that my participation in the Training Group is a re-certification of the above statements and agree to respond to questions the day of the Training Group if asked to do so to confirm the accuracy of my health condition. I agree that if any of these statements are not true and accurate as of date of the Training Group, I cannot and will not participate in or be present at the Training Group.
I agree that I will follow the rules that the Training Director (Lesley Holleman) mandates for participation in the Training Group, including, but not limited to, rules related to social distancing and provided amenities. I agree and acknowledge that no restrooms will be provided at the Training Group. I agree and understand that I am solely responsible for bringing the supplies I may need to participate in the Event.
In the event of an illness, injury, or medical emergency arising during the event, I hereby authorize and give my consent for Fleet Feet Jackson and its designees 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 and agree to indemnify and hold harmless the Released Parties from any liability associated with the treatment or related expenses.
By submitting this entry, I acknowledge on behalf of myself, or the minors for which I am a parent or guardian, that I have read and agreed to the above release and waiver. In addition, if I am a parent or guardian, I accept full responsibility for the care and supervision of my child during the Training Group.
Further, I grant permission for the Released Parties to use or authorize others to use any photographs, motion pictures, video or sound recordings, and/or other record of my participation in the Pub Run, including my name, picture, likeness, and image, for any legitimate purposes without remuneration to me.
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