Sikad Ng Bayan
County of Orange
Sikad Ng Bayan
Yorba Regional Park
7600 E. La Palma, Anaheim, CA 92807
Email address *
Athlete's / Participant's Waiver Release Form
This is a contract with legal consequences. I have been advised to read it carefully before signing.

1. I hereby waive, release and discharge for myself, my heirs, legal representatives, executors, administrators, assignees, and successors in interest (collectively referred to as "Successors") any and all rights and claims for damages, injuries, expenses or costs of any kind which I have now or may acquire in the future that are directly or indirectly related to my participation in or association with the Event (collectively referred to as "Claims"), against the County of Orange, law enforcement agencies, the sponsors, organizers and any promoting organizations for this Event, and their respective agents, officials, and employees (collectively referred to as the "Released Parties"). The waived, released and discharged Claims include claims arising from the Released Parties' own active or passive negligence.

2. I acknowledge and fully realize the dangers of participating in athletic event and fully assume the risks associated with participation including, by way of example and not limitation, the following: the dangers of collision with pedestrians, vehicles, other participants, and fixed objects; the dangers arising from surface hazards, equipment failure, inadequate safety equipment, the Released Parties' Own Negligence, weather conditions; and the possibility of serious physical and/or mental trauma or injury associated with athletic events.

3. I agree it is my sole responsibility to be familiar with the course and any special regulations for the Event. I understand and agree that situations may arise during the Event that are beyond the immediate control of Event supervisors and organizers and I must continually participate so as to neither endanger myself or others. I accept responsibility for the condition and adequacy of my equipment. For bicycle events I will ride wearing a helmet that satisfies requirements of the U.S. Cycling Federation's Racing Rules capable of protecting against serious head injury. I assume all responsibility for the selection of the helmet. I have no physical or mental condition, which to my knowledge, would endanger others or myself if i participate in this Event, or would interfere with my ability to participate in this Event.

4. I agree for myself and Successors that the above representations are contractually binding and are not mere recitals, and that should I or my Successors assert a claim in contravention of this agreement, the asserting party shall be liable for the expenses (including legal fees) incurred by the other party or parties defending, unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This agreement may not be modified orally. Waiver of any provision of this agreement is intended to be severable. If one or more provision is found to be unenforceable or invalid, the remaining terms and provisions shall remain binding and enforceable. Type of event (description):

Date of the Event: April 13, 2019
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