PARTICIPANT WAIVER AND RELEASE OF LIABILITY,
ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
Specific Event Waiver Form for ADULTS (Age 18 or older)
Event Name: Run with the Herd #BisonGrad
Event Location: Nichols College Campus, Dudley MA
Event Date(s): October 6, 2019__
For and in consideration of Nichols College GPS allowing me, the undersigned, to participate in the Nichols College GPS event described above (the
“Event” or “Events”); I, for myself, and on behalf of my spouse, children, guardians, heirs and next of kin, and any legal and personal representatives,
executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and
Release of Liability, Assumption of Risk and Indemnity Agreement (the “Agreement”);
1. I hereby represent that (i) I am at least eighteen (18) years of age or older; (ii) I am in good health and in proper physical condition to participate in the
Event; and (iii) I amnot under the influence of alcohol or any illicit or prescription drugs which would in anyway impairmy ability to safely participate in the
Event. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event, that I am
responsible for my own safety and well-being at all times and under all circumstances while at the Event site.
2. I understand and acknowledge that participation in track & field, road running, race walking, cross country, mountain, ultra, and trail running Events is
inherently dangerous and represents an extreme test of a person’s physical and mental limits. I understand and acknowledge the risks and dangers
associated with participation in the Event and sport of track & field and related activities, including without limitation, the potential for serious bodily injury,
sickness and disease, permanent disability, paralysis and loss of life; loss of or damage to equipment/property; exposure to extreme conditions and
circumstances; contact with other participants, spectators, animals or other natural or manmade objects; dangers arising from adverse weather
conditions; imperfect course or track conditions; land, water and surface hazards; equipment failure; inadequate safetymeasures; participants of varying
skill levels; situations beyond the immediate control of the Event Organizers; and other undefined, not readily foreseeable and presently unknown risks
and dangers (“Risks”). I understand that these Risksmay be caused in whole or in part bymy own actions or inactions, the actions or inactions ofothers
participating in the Event, or the negligent acts or omissions of the Released Parties defined below, and I hereby expressly assume all such Risks and
responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in any Event.
3. I agree to be familiar with and to abide by theRules andRegulations established for the Event, including but not limited to theCompetitiveRules adopted
by Nichols College GPS and any safety regulations established for the benefit of all participants. I accept sole responsibility for my own conduct and
actions while participating in the Event, and the condition and adequacy of myequipment.
4. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: Nichols College, its
members,member clubs, associations, sport disciplines and divisions;UnitedStatesOlympicCommittee (USOC); theEventDirectors,Organizers and
Promoters, Sponsors, Advertisers, Coaches and Officials; the Host Organization and the Facility, Venue and Property Owners or Operators upon
which the Event takes place; Law Enforcement Agencies and other Public Entities providing support for the Event; and each of their respective parent,
subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and
Collectively, the “Released Parties” or “EventOrganizers”),with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or
expense (including court costs and reasonable attorney’s fees) of any kind or nature (“Liability”) whichmay arise out of, result from, or relate in anyway
to my participation in the Event, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. I
further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify,
defend and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim.
I hereby warrant that I am of legal age and competent to enter into this Agreement, that I have read this Agreement carefully, understand its terms and
conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of my spouse, children, guardians, heirs and next of
kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement without
any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms,
conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral
representations, statements or inducements have beenmade apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for
any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any
remaining provisions.
Print Name: Age: Date of Birth: / / Male Female
Home Address: Home Tel.: ( )
X / /
Signature of Participant Date Signed
Revised 9/10/2019 SecureFee™ Registration Cancellation Insurance is offered in most states. If purchased, your registration may be covered for one of the covered reasons stated in the policy.
