Run Unity Participation Waiver & Release
Complete your details, emergency contact, medical disclosure, and e-sign to confirm your agreement to the participation terms.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions / Disclosures
Assumption of Risk & Release of Liability
I acknowledge and accept the risks of participating in group running activities with Run Unity and release Run Unity, its organizers, and members from liability for injuries or damages resulting from participation.
*
I have read and agree to the assumption of risk and release of liability statement.
Photography and Media Release
*
I consent to the use of my image and likeness in photos, videos, and other media for Run Unity promotional purposes.
Run Unity Membership & Participation Terms
*
I confirm I am a member of Run Unity and agree to abide by the club's participation terms.
Date
*
-
Month
-
Day
Year
Date
Participant Signature
*
Submit Waiver
Submit Waiver
Should be Empty: