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INJURY WAIVER AND GENERAL RELEASE FORM

   By signing your name below as an athlete, and/or parent/legal guardian of an athlete of Key Running + Retreats,  you acknowledge that participation in the program exposes you to potentially hazardous activities with a possibility of personal injury or death. You will not participate unless you are medically able, and by your signature, you certify that you are medically able to perform all activities associated with Key Running running classes and are in good health. You agree to abide by all rules including the right of any employee to deny or suspend your participation for any reason whatsoever. You assume all risks associated with participating in classes which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, cold and icy conditions, traffic and the conditions of the road, treadmill accidents, and all such risks being known and appreciated by you. You, being fully aware that participation in the program exposes you to a possible risk of personal injury, hereby release Key Running and its officers, directors, employees, coaches, agents, licenses, subsidiaries, consultants, independent contractors, affiliates and city of Missoula from any and all liability from property damage, personal injuries, or other claims arising from or in connection with your subscription to the Key Running program, including claims that are known and unknown, foreseen and unforeseen, future or contingent or liabilities of any kind arising out of your participation.

Covid- 19 Waiver 

 

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. 

I further acknowledge that Key Running + Retreats LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Key Running + Retreats LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others. 

I voluntarily seek services provided by Key Running + Retreats LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19 and am aware that such exposure could result in sickness or death. I acknowledge that I must comply with all set procedures to reduce the spread while attending my retreat. 

I attest that:

* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. 

* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.

* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I hereby release and agree to hold Key Running + Retreats LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the retreat, or that may otherwise arise in any way in connection with any services received from Key Running + Retreats LLC. I understand that this release discharges Key Running + Retreats LLC from any liability or claim that I, my heirs, or any personal representatives may have against the retreat with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Key Running + Retreats LLC. This liability waiver and release extends to the retreat together with all owners, partners, and employees. You acknowledge that you have read and fully understand the Injury Waiver and General Release Form. This agreement shall be binding on you, your spouse, your children, legal representatives, heirs, successors and assigns.

 



First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
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First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
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Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
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Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
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Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
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Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
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Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
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Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
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Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
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Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
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Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
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Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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