STOMP MS GLOW RUN 5/K
August 5, 2016
Shot Gun 8:30PM
PLEASE CLICK ON UPCOMING EVENTS FOR MORE INFORMATION ABOUT RACE!
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Your payment information online is confirmation to Stomp MS that you agree to Stomp MS's Waiver Release and Consent Form
WAIVER RELEASE AND CONSENT
In consideration of Stomp MS permitting (me)(my child
__________________________________________, who is under 18) to participate in
the above-named event, I hereby, and for (me)(my child) heirs, executors,
administrators, assigns and all legal guardians, WAIVE AND RELEASE ANY AND ALL
RIGHTS AND CLAIMS OF ANY NATURE, FOUNDED IN WHOLE OR IN PART UPON ANY TYPE OF
NEGLIGENCE, that (I) (my child) may have against Stomp MS, its directors, officers, employees, agents, chapters,
assignees, licensees, volunteers and cooperating entities, their
representatives, heirs, executors, administrators, successors and assigns (the
“Release Parties”) arising out of or resulting from any and all injuries or
damages of any nature, including death, which (I) (my child) may suffer while
taking part in the event or any activities connected with the event. I
UNDERSTAND THAT THIS MEANS I AGREE NOT TO SUE any or all of the
Released Parties in connection with the event.
also is hereby given to use (my) (my child’s) name, picture, portrait, likeness
in any media for educational promotional and advertising purposes in
furtherance of the corporate purposes and objectives of Stomp MS.
signing this document, I certify that I have read this document and fully
understand it, and that I am not relying on any statements or representations
of any Released Party. This document
shall be binding upon me, (my) (my child’s) heirs, executors, administrators,
assigns and all legal guardians (of my child)
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