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5K for St. Patrick’s Day Run, September 26, 2020

Acknowledgment and Release of Infectious Disease Liability

The following waiver must be signed by all runners, volunteers, committee members, and staff for the 2020 5K for St. Patrick’s Day Run.  Runners will not be allowed to pick up their bib, and staff/volunteers will not be allowed to check in unless this waiver has been signed.  Please sign this waiver before race weekend to better facilitate the check in process.  Thank you!

 

As a participant, volunteer, staff member, or attendee of the 5k for St. Patrick’s Day Run (“Event”), and any related events, the undersigned acknowledges and agrees:

 

 I understand that my attendance and/or participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19.  While certain restrictions and personal discipline may reduce this risk, I enter the Event and premises and accept the risk of serious illness, possibly resulting in death.  I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others and assume full responsibility for my participation.

 

 I understand that the Event and its representatives cannot guarantee that any precautionary measures taken by the Event will fully protect anyone from being exposed to and/or contracting COVID-19 or any other contagion.

 

 I understand that upon arrival at the Event, I must confirm that I, and all members of my immediate household, have not experienced unexplained symptoms linked to COVID-19 within the previous fourteen (14) days.  If I, or any member of my immediate household, have experienced those symptoms within 14 days of the Event, I *,

* The Participant,

Will not attend the Event or any related activities,
Will notify the Director of my symptoms by emailing director@csgrandprix.com, and
Will willingly defer my registration to the run.

* The Volunteer,

Will not attend the Event,
Will notify the Director at director@csgrandprix.com of their absence.

Participants and Volunteers agree to submit to a temperature reading from a touchless thermometer, and agree that if my temperature is 100.4 degrees F or greater or 38 degrees C or greater, I will willingly defer my entry into the run and will not compete.

 

 

I understand that upon arrival at the Event, I must affirm that I, along with all  members of my immediate household, have not been diagnosed with COVID-19 within the last thirty (30) days and have not been knowingly exposed to anyone diagnosed with COVID-19 within the last thirty (30) days.

 

I affirm that I will comply with all requirements set forth by the race organizers, local and state

health departments, and other officials, including social distancing, the use of mask or cloth face covering, temperature checks, COVID-19 symptom screenings, and food and beverage service requirements.As a participant, I understand that failure to comply with the requirements, or if my behavior is deemed to be rude, belligerent, threatening or in appropriate in any way, it will result in disqualification from the race, and my entry forfeited without refund.

           

 

In consideration of my application, I agree, by signing below in writing or electronically, to each statement above and I also hereby waive, release, indemnify, and forever hold harmless the 5K for St. Patrick’s Day Run, and it organizing partners including but not limited to Grand Prix of Running, O’Donnell and O’Donnell, LLP, and any of their subsidiaries, subcontractors, employees, volunteers, and agents affiliated with the Event (collectively, the “Released Parties”) from all liabilities and claims for any injuries, illnesses, losses, or damages that arise out of or are incident to, my participation in any activities relating to the Event or my attendance at said Events relating to the 5K for St. Patrick’s Day Run.

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Bib No.

Bib Number *
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Bib No.

Bib Number *
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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