ACKNOWLEDGEMENT OF RISK AND WIAVER OF LIABILITY

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* 1. Is Participant over the age of 18?

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* 2. Participant Name

Read this Acknowledgement of Risk and Waiver of Liability carefully and in its entirety.  It is a legally binding document.

If Participant is under the age of 18, this form must be signed by Participant’s parent or legal guardian.

I understand that participating in the 2024 Saint Patrick’s Day Dash is a potentially hazardous activity, and I should not enter and participate unless I am medically able and properly trained.  I acknowledge and assume any and all risk associated with this event including, but not limited to, traffic on the course route, falls, contact with other participants, and the condition of the course, including, but not limited to curbs, cars, uneven pavement, potholes, rocks, and other objects on the course surface.  Knowing and appreciating these risks and in consideration of your acceptance of my entry, I hereby for myself, my heirs, representatives, or anyone else claiming on my behalf agree to release, hold harmless, indemnify and defend the City of Hollister from any and all claims of liability for death, personal injury, or damage of any kind arising out of my participation in this run.  This Acknowledgement of Risk and Waiver of Liability extends to all claims of every kind whatsoever.  I also consent to emergency treatment in the event of injury or illness.

As a condition of participation, I agree to allow the City of Hollister, its employees, agents, and representatives to use my name, biography, photograph, or likeness in promoting or publicizing the City of Hollister’s recreation programs.

My signature acknowledges that I have read the above waiver and I agree and accept all terms and conditions set forth herein.

In signing the Acknowledgement of Risk and Waiver of Liability I hereby acknowledge and represent:  (a) that I have read this document in its entirety, understand it, and sign it voluntarily; and (b) that this Acknowledgement of Risk and Waiver of Liability is the entire agreement between the parties hereto and its terms are contractual and not a mere recital.

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* 3. Emergency Contact

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* 4. Date

Date

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* 5. Participant Signature

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