TEAM CONCERN PARTICIPANT AGREEMENT, WAIVER & RELEASE
2017 SKECHERS PERFORMANCE LOS ANGELES MARATHON & LA BIG 5K
2017 SKECHERS PERFORMANCE LOS ANGELES MARATHON & LA BIG 5K
I, ______________________, understand, acknowledge and agree that I am voluntarily participating in the 2017 Skechers Los Angeles Marathon & LA BIG 5K (“Event”) with Concern Foundation (“Concern”) in Team Concern (the “Team”) and with Conqur Endurance Group(“Conqur”). I understand that my execution of this Waiver/Release is a prerequisite for participation in the Event and is in consideration of the other matters described herein. I further understand and voluntarily assume the risks and dangers inherent in participating in the Event and the Team.
I understand that I am solely responsible for my health and safety, certify that I am physically capable of participating in the Team and the Event, and am unaware of any restrictions placed on me that would in any way prevent me from safely participating in the Event. I agree to abide by any decision of an event official relative to my ability to complete the Event safely and I further agree that Event officials or volunteers may recommend necessary emergency treatment for me.
In consideration for Concern allowing me to participate with the Team in the Event and Conqur, and utilize one of the entry slots afforded to Concern, I, along with my successors, next of kin, heirs, administrators, assigns, executors and representatives (collectively, “my Representatives”), fully and unconditionally discharge, waive, release and hold harmless the Team, Concern, Conqur, their officers, directors, members, employees, assigns, successors, contractors, vendors (and their agents), agents, sponsors, officials and volunteers, including but not limited to team captains, participating communities and clubs and all governmental and public entities including, but not limited to, the State, County and local municipalities where the Event takes place (collectively the “Released Parties”), from, of or for any and all liability, claims, damages and actions resulting in any loss, death, personal injury, property damage or other inconvenience suffered by me or my Representatives at any time hereafter as a result of my participation in the Event, LAM or Team, regardless or any negligence of the Released Parties or otherwise. I understand and agree that this Waiver and Release is binding.
I understand that by signing this Waiver/Release/Consent to accept entry to the Event, and utilizing one of the entry slots afforded to Concern Foundation, I am making the commitment to raise or give a minimum of $1,000.00 (Marathon/Charity Relay participants) and/or $350.00 (5K participants) to Concern Foundation in addition to any registration fee. With this commitment, and if selected by Concern Foundation to utilize one of its entry slots, I am guaranteed entrance to the 2017 Skechers Performance Los Angeles Marathon. As part of the commitment to raise money for Concern, I assume responsibility to fulfill my fundraising commitment in two installments. I understand and accept that half of my commitment ($500 for marathon/charity relay or $175 for 5K) must be raised or paid by December 30, 2016, and the remaining balance must be raised or paid-in-full by 30-days after the Event. If I have not fulfilled the payment of my fundraising commitment in accordance with the schedule set forth herein, I agree to pay the remaining balance of the $1,000.00 (or $350 for the 5K) commitment, and authorize Concern Foundation to charge the credit card I provide, unless I offer an alternative payment option to the satisfaction of Concern Foundation.
I also freely consent to the use of my name and likeness in connection with the Event, Conqur, Team or Concern Foundation (this “Media Consent”), for any purpose related to advertising or promotion of the Event or Concern Foundation worldwide in perpetuity in all forms of media now and forever known.
I have carefully read this Waiver and Release and fully understand its contents. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above and I accept of my own free will.
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Participant Signature First & Last Name (Print) Date
If participant is under the age of 18 (minimum age to participate in marathon is 16. No age minimum for 5K):
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Parent/Guardian Signature First & Last Name (Print) Date
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