Extended Volunteer Sign Up 2018

Name *
Name
Phone Number *
Phone Number
(5/14: Please note that shirts have already been ordered and we may not have enough in your size.)
Waiver *
EVERYONE MUST READ AND ACCEPT THIS WAIVER, SO PLEASE READ CAREFULLY BEFORE ACCEPTING THIS ACKNOWLEDGMENT, WAIVER, AND RELEASE FROM LIABILITY. In consideration of my registration for and participation in The Unity 5k Color Run (the “Event”), I accept any and all risks of participation and agree to release, discharge, hold harmless and indemnify (and covenant and agree not to sue) The Carolyn E. Wylie Center, the City of Riverside, and all Event sponsors, and all officers, directors, and members of said organizations, their respective employees, agents, licensees, designees and any other individuals who are in any way associated with this Event including volunteers (collectively, the “Released Parties”), on behalf of myself and my heirs from any and all liability, claims, demands, and/or actions, which are related to, arise out of, or in any way connected with my participation in this Event, whether caused by the negligence of the Released Parties or not. I acknowledge that I am in proper physical condition to be present at the Event and participate in any and all activities therein and that my participation in this Event is completely voluntary. I understand and acknowledge that the Event will be held on uneven terrain, over public roads and through facilities that may be open to the public during the Event. I understand that some of the course may go through water, colored corn starch or mud, which has not been tested for chemicals or disease. I knowingly and voluntarily accept and assume responsibility for any risks and dangers that could arise out of, or occur during, my presence at and participation in the Event and will comply with any and all on-site directions, guidelines and rules of conduct at the Event. I understand that if the Event is cancelled because of circumstances beyond the control of the Event committee and sponsors, including but not limited to hazardous weather conditions or government ban, my entry fee will not be refunded. I understand that under no circumstances are refunds to be issued. I understand that all entries are final with no refunds. The official race directors reserve the right in any event of emergency or local or national disaster to cancel the race and in the event of cancellation or change there is no refund of entry fees. I hereby grant the Released Parties the absolute and irrevocable right and permission to film me, take photographs, pictures or other portraits of me, videotape and otherwise record me, and to record my voice, conversations and sounds, along with my name, likeness, image and voice (collectively, “Recordings”), all of which may be used, and to copyright and/or use and/or publish the Recordings in whole or in part, as well as any and all other materials that may include the Recordings, in conjunction with my own or fictitious name, in any media now or hereinafter existing, including without limitation any and all television, Internet and/or paid media, including third party websites and social networking sites, for any purpose whatever, throughout the world, in perpetuity, without further compensation or notification to me, except where prohibited by law. I hereby agree to indemnify and hold harmless the Released Parties from and against any and all claims or liabilities arising out of the taking, processing, reproduction and/or use of the Recordings in accordance with the terms hereof, including but not limited to claims in the nature of copyright infringement, defamation, disparagement, slander, false light, invasion of privacy or publicity or the like. I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER. I HAVE READ THIS WAIVER AND UNDERSTAND ITS CONTENT. FOR PERSONS UNDER EIGHTEEN (18) YEARS OF AGE, A PARENT OR LEGAL GUARDIAN MUST ACCEPT THE ABOVE WAIVER AND COMPLETE THE FOLLOWING SECTION. The parent and natural or legal guardian of the registered minor does acknowledge that he or she has executed the foregoing WAIVER for and on behalf of the named minor. As the natural or legal guardian of the minor, I agree to bind myself, the minor, and our executors, administrators, heirs, next of kin, successors and assigns, to the terms of the above WAIVER. I represent that I have the legal capacity and authority to act for and on the behalf of the minor named here, and I agree to indemnify and hold harmless the Released Parties listed in the foregoing WAIVER for any claims made of liabilities assessed against the Released Parties as a result of any insufficiency of my legal capacity or authority to act for and on the behalf of the minor in the execution of this WAIVER or in the execution of this CONSENT. I authorize any licensed physician, emergency personnel, hospital, or other medical or health care facility (Medical Provider) to treat the minor for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to The Unity 5k Color Run event. I authorize such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve such injuries. I consent to the administration of anesthesia as deemed advisable during the course of treatment. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume such risk for and on behalf of myself and said minor. I acknowledge that no warranty is being made as to the results of any medical treatment.