Cupcake Chase 5K Run/Walk

Participant 1 Information

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Mandatory Waiver & Release of Liability

I hereby declare, assert and affirm that participating in the Cupcake Chase 5K Run/Walk is done having voluntarily and knowingly assumed ALL RISKS involved in the event. The immediate physical risks and hazards associated with normal and vigorous physical activity include, but are not limited to; physical discomfort, fatigue, muscular soreness, falls, pulled or strained muscles, overuse injuries, heat stress, and the rare respiratory system including heart arrhythmia, heart attack, stroke and/or sudden death. In consideration of acceptance of this contract allowing my participation in the above stated event and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators, and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages or losses that I may incur against all participating agencies involved in the above stated event, specifically Children’s Miracle Network Hospitals, WVU Medicine Children’s and Ruby Memorial Hospital, Valley Park, Putnam County Parks and Recreation, the City of Hurricane and TriStateRacer, their respective employees, agents, representatives, successors and assigns, for any and all activities connected with the above event.

I agree that I am releasing the service provider ( from liability for injuries resulting from the ordinary negligence of the provider.

By clicking the Accept Waiver button below, I agree that I have read and accept the above waiver. I also agree that I am over 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person.

By clicking the Accept Waiver button below, I am also agreeing that I have read and accept the
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