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Duck Foot Run Club – Liability Waiver & Release

Organization: Duck Foot Brewing Company – Leucadia

Activity: Recreational Run Club Participation

Acknowledgment of Risk

I understand that participation in a running or walking activity involves inherent risks, including but not limited to:

  • Slips, trips, and falls
  • Traffic hazards and road conditions
  • Weather-related conditions
  • Physical exertion and potential injury

I voluntarily assume all risks associated with participation.

This waiver applies to all participation in Duck Foot Run Club events, including recurring weekly runs.

Health & Responsibility Statement

I certify that:

  • I am physically able to participate in this activity
  • I am participating voluntarily and at my own pace
  • I am solely responsible for my own safety and well-being during the run

I understand that this is a non-competitive, recreational activity and that no coaching, medical advice, or supervision is provided.

Rules & Expectations

I agree to:

  • Follow all traffic laws and pedestrian safety rules
  • Stay aware of my surroundings at all times
  • Use sidewalks and designated paths where available
  • Not consume alcohol prior to or during the run
  • Use appropriate visibility gear (reflective clothing/lights) when conditions require

Release of Liability

I hereby release, waive, and discharge Duck Foot Brewing Company, its owners, employees, contractors (including Run Club Leaders), and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may be sustained while participating in this activity.

Minors

  • Participants under 18 must have this waiver signed by a parent or legal guardian
  • Minors must be accompanied by a parent or legal guardian at all times

Acknowledgment & Signature

I have read and understand this waiver and voluntarily agree to its terms.

Date: April 30, 2026

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information

Photo & Media Release (Optional but Recommended)

I grant permission for Duck Foot Brewing Company to use photos or videos taken during the event for marketing and promotional purposes.
Yes
No
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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