Waiver
I am aware that participating in the Alpha Punkin' Run 5K can be a dangerous activity involving MANY RISKS OF INJURY. I understand that the dangers and risk of participating in the above event include, but are not limited to, death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to virtually all internal organs, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the muscular skeletal system, aggravation of underlying diseases which could result in illness such as a heart attack or stroke, and serious injury or impairment to other aspects of my body, general health and wellbeing. I understand that the dangers and risk of participating in the above event may result not only in serious injury, but in a serious impairment of my future abilities to earn a living, to engage in other business, social and recreational activities, and generally to enjoy living. Because of the dangers of participation in the above event, I recognize the importance of following rules and regulations established by Alpha Pregnancy Care Center and agree to obey such instructions. I acknowledge that I am in good physical condition and do not know of any condition or reason that I should not be able to participate in the Alpha Punkin' Run 5K. I recognize and acknowledge that Alpha Alternative does NOT carry special health insurance that would provide such special insurance coverage for me in the event I should sustain an accidental injury while participating in the Alpha Punkin' Run 5K. I understand the risks involved in this activity and I am voluntarily participating in the Alpha Punkin' Run 5K. By my confirmation above and completed registration, I hereby recognize and assume all risks associated with the Alpha Punkin' Run 5K, waive any claim that I might have arising out of this activity, and agree to release and hold harmless Alpha Alternative, its employees, agents, representatives, and volunteers harmless from any and all obligations, liabilities, claims, demands, costs, and expenses, including attorney’s fees, or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to the Alpha Punkin' Run 5K. The terms hereof serve forever as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and for all members of my family.
In addition, the undersigned agrees to indemnify and hold harmless the City of Hopkinsville, the Division of Parks & Recreation, all of their officers and agents, and Alpha Pregnancy Care Center from all injury, loss, costs, claims, or damages to any person or property arising from, related to, or in any way connected with participation in the Punkin' Run 5K. Permission is granted to publish any and all photos taken during this event. During my participation in this event, I agree to allow Alpha Pregnancy Care Center to have licensed medical personnel provide any warranted emergency treatment.
The invalidity of any portion of this Agreement shall not affect the remaining portions. In confirming the statements in this Waiver above, I acknowledge and represent that I have read it, understand it, and sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from this Waiver have been made.
By signing below, I verify that I have read the above waiver and agree. (If participant is under 18 years of age, form must be signed by a parent/guardian).