WAIVER OF PARTICIPATION AND RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in any athletic sports program, training, and/or related
events and activities organized or sponsored by the Busse Woods Running Club, the undersigned acknowledges
and agrees that:
1. Running in and volunteering for organized group runs, social events, and races with this club are potentially
hazardous activities, which could cause injury or death;
2. 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;
3. I will not participate in any club organized events, group training runs or social events, unless I am medically able
and properly trained, and by my signature, I certify that I am medically able to perform all activities associated with
the club and am in good health, and I am properly trained;
4. I agree to abide by all rules established by the club, including the right of any official to deny or suspend my
participation for any reason whatsoever;
5. I understand that the BWRC Running Activities will be conducted at various times and locations as scheduled
from time to time BWRC and its organizers or representatives, and I understand that any and all running or
exercise activities in which I participate, whether physically with BWRC or any of its members, or on my own or
with others at the suggestion, recommendation, or advice of BWRC, are included within the BWRC Running
Activities subject to this Waiver and Release.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND
HOLD HARMLESS the Busse Woods Running Club, its officers, officials, agents, and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to
conduct any event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to
person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest
extent permitted by law.
I hereby grant full permission to any and all of the foregoing to use any photographs, motion pictures, recordings,
or any other record of this program for any legitimate purpose, without monetary compensation to me.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
(Participant’s Printed Name)
_________________________________________________ DATE SIGNED:______________________
FOR PARTICIPANTS UNDER AGE 18
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to
his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release
and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's
involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to
the fullest extent permitted by law.
(Participant’s Printed Name)
_________________________________________________ DATE SIGNED:_____________________
Emergency Phone Number: (________)_________________