April 30, 2005
Club South Runners member:
do hereby release Club South Runners, The City of Denham Springs, The Greater
Denham Springs Chamber of Commerce, Main Street of Denham Springs, race director
and officials, volunteers, sponsors and their representatives, successors and
assigns for any and all injuries suffered by me in said event however incurred
or sustained. I know that running a
road race is a potentially hazardous activity.
I attest and verify that I am physically fit and sufficiently trained for
the completion of this event. I
assume all risks associated with running in this event including but no limited
to falls, contact with any participants, and the effect of the weather including
high heat and humidity, traffic and the conditions of the course.
Further, I hereby grant full permission to any and all of the foregoing,
as well as recognized news media, to use any photograph, videotape, motion
picture recording or any other record of this event for any purpose whatsoever.
I agree to abide by any decision of the race director, race officials and
medical personnel relative to my ability to safely complete the run, as well as
the safety of other participants. I
attest that with my signature provided below that I am 18 years of age or older
or that in addition to my signature I have provided the signature of my legal
parent or guardian.