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Participant Waiver for Race Registration 
Activity: Muddy Bunny 5k Run and Walk  
By checking the terms & Conditions box below the form you're agreeing to the following: 

Each participant, and parent or guardian of youth participants, must agree to this Waiver
for themselves and on behalf of any youth participant whom they are registering. Please
read carefully. 
I hereby acknowledge my voluntary participation in the Muddy Bunny 5K Run or
walk at Bethels Rock Church in Farmington may result in personal injury to me, any
minor under my care. By participating in, attending, or observing the 5K Run or walk, I
acknowledge and assume all risks and dangers that are incidental to or in any way arise
from the 5K Run or walk including, without limitation, all risks and danger inherent in the
sports of walking and running. I understand that walking and running in races are
potentially hazardous activities, which could cause injury or death. I should not enter
and run or walk in the 5K Run or walk unless I am medically able and properly trained,
and by my signature, I certify that I am medically able to perform this 5k Walk / Run, and
am in good health, and I am properly trained. I agree to abide by any decision of an 5k
run official relative to my ability to safely complete the 5k run or walk. I assume every
risk associated with participating in the 5k run or walk including, but not limited to: falls,
contact with 5k participants or volunteers or with vehicles or dogs, the effects of the
weather, including high heat and/or humidity, traffic and the conditions of the road and
course conditions. I attest that, if I am pregnant, disabled in any way, or have recently
suffered an illness, injury, or impairment, I have consulted with a physician before
participating in the 5K Run or walk. I consent to emergency medical care and
transportation in the event of injury and to obtain treatment medical professionals may
deem appropriate. This Release extends to any liability arising out of or in any way
connected with medical treatment and transportation provided in the event of an
emergency. I agree and understand that I am expected to exhibit behavior that is
appropriate at all times and to obey all laws. This includes, generally, respect for all
people, equipment, and facilities. I may be removed from the 5K Run or walk, without
refund, should my behavior endanger the safety or negatively affect a race, person, the
venue, myself or property of any kind. I agree not to consume alcohol prior to or during
the 5K Run or walk or ingest any medicines or substance that will inhibit my mental or
physical ability to safely and effectively participate the 5K Run or walk. I agree that
the 5K Run or walk is not responsible for any personal item(s) or property that is lost or
stolen at the 5K Run or walk. I understand that flexi-leads, bicycles, skateboards, roller
skates or rollerblades, and personal music players are not allowed in the race. I agree
to be bound by the terms of the rules and regulations established by the 5K Run or
walk. I will abide by all applicable governmental laws, ordinances, orders, directions,
rules and regulations, as well as all rules and regulations that are adopted for this 5K
Run or walk. I acknowledge that the 5K Run or walk reserves the right to exclude or
eject any and all unruly, rowdy, or disruptive participant from the Event and that I shall
be fully responsible for any damages or expenses, direct or indirect, incurred as a result
of myself, disruptive behavior and/or ejection. I further agree that any 5K Run or walk
official may authorize necessary treatment for me in the event of injury. 

I understand that the 5K Run or walk reserves the right to cancel or modify the 5K Run
or walk if conditions create an unsafe, such as but not limited to accidents, labor
disputes, acts of war or terrorism, military or armed conflicts, insurrections, rebellions,
riots, explosions, lightning, earthquakes, fires, storms, terror attacks, rain, floods or
wind. In the event of any such cancellation for any reason, there will be no refund to my
registration fee. I agree that all entry fee payments are non-refundable and all sales are
final. I attest that I have read the rules of the race and agree to abide by them. Having
read this waiver and knowing these facts and inconsideration of your accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and release the 5k
Walk / Run along with event timers, sponsors and organizers, and their representatives,
agents, affiliates, employees and successors (the “Administrators”) from all claims
and/or liabilities of any kind arising out of my participation in the 5k Walk / Run even
though such liability may arise out of negligence or carelessness on the part of the
persons named in this waiver. I also grant permission to all the foregoing to use any
photograph, motion picture, recordings, or any other record of the Event for any
legitimate purpose. I further understand and agree that stroller use is permitted in the
5K race and I assume all liability related to my use of one. 
I, the parent or guardian of the above-named participant, have read through this waiver
and all its terms, and I hereby give my approval to this child's participation in the Muddy
bunny 5k walk/run. I assume all risks and hazards incidental to my child's participation
in the Muddy bunny 5k walk/run, and I hereby waive, release, absolve, indemnify and
agree to hold harmless the Administrators, as defined above, for any injury to my child
and from any and all claims, causes of actions, obligations, lawsuits, charges,
complaints, controversies, covenants, agreements, promises, damages, costs,
expenses, responsibilities, of whatsoever kind, nature or description, whether, direct or
indirect, in law or in equity, in contract or in tort, or otherwise, whether known or
unknown, from all claims or liabilities of any kind arising out of or connected with my
child's participation in the Muddy bunny 5k walk/run. I consent to the foregoing and
grant permission for him/her to participate in the Muddy bunny 5k walk/run. I
acknowledge I have carefully read, accepted and agreed to the terms on this
Assumption and Release and Liability waiver, and know and understand their contents
and I sign the same on my own free act and deed. 
**DISCLAIMER** When registering online, my online signature shall substitute for and
have the same legal effect as an original form signature. I agree and understand that
my PARTICIPATION WILL BE DENIED if the signature of an adult participant or
parent/guardian and date are not signed either prior to or at the time and place of the

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