Life Center Virtual Fun Run Walk
Waiver Form
Please register to participate in this Just Move It event!
We look forward to your participation and receiving your registration Form!

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* If the participant is under age 18, please check here and provide your name:

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* Parent or Guardian's Name:

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* Contact Information for the Person Participating in the Walk/Run:

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* Tribal Affiliation:

I acknowledge that I have read this release in its entirety and understand the impact that it has on my legal rights.  I understand that participation in any physical activity can lead to injury, illness, and discomfort.  By participating in the Life Center Virtual Fun Run Walk - Just Move It (the "Event"), I voluntarily agree to accept all risks associated with my participation.  In this regard, I hereby waive, release, and forever discharge Gila River Health Care and its officers, agents, employees, representatives, and all others (collectively referred to as "GRHC") from any and all responsibility or liability for any injuries or damages sustained by myself or others resulting from or in any way connected to my participation in the Event, including, without limitation, those caused by the negligent acts or omissions of GRHC.  

In addition, I hereby grant permission to Gila River Health Care to photograph, film/videotape, or voice record my participation in the Event for the purposes of publication, promotion, illustration, advertising, or other lawful use of said media by Gila River Health Care. 

By submitting this registration, I certify that I have read and understand this Gila River Health Care Liability and Media Release.  If you are under age 18, this registration must be completed and submitted by your parent or legal guardian.

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* Click I agree if you understand:

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