Hollywood Run Club Liability Waiver Form
Hollywood Run Club LLC.
Address: 3212 Festival Dr, Margate, 33063
Contact us at (305) 766-9002 or
First and Last Name
Please read this release carefully: I am signing that I HAVE READ THIS RELEASE CAREFULLY, FULLY UNDERSTAND IT AND VOLUNTARILY AGREE TO ITS TERMS. Waiver: By signing this legal document, you are giving up any legal rights you may have to sue Hollywood Run Club, Kevin Mason, Runners Depot, Miami Road Runners Club and/or Any partner/sponsor in court for money or other damages. RELEASE AND WAIVER: Name of Event(s): Run Club Date(s) of Event: August 1, 2013 – August 1, 2019. I ("Participant" whose name appears in this form) desire to participate in Run Club (Hollywood) (the "Event"), conducted by Hollywood Run Club and/or its subsidiaries and agents. In exchange for participating in the Event, I agree for myself and my heirs, estate, insurers and assigns to fully release and hold harmless Hollywood Run Club LLC., Kevin Mason, Any Hollywood Run Club LLC. Representative, Hollywood Run Club LLC. Pacers, Miami Road Runners Club, Runner’s Depot Inc, and its respective affiliates including but not limited to, all of its employees, directors, officers, agents (the "Released Parties") and associate sponsors from any claims or causes of actions I may have against the Released Parties at this time or in the future for damages, injuries (including death), losses, expenses (including attorney fees) and any other liability, of or to me or any other person, in connection with my participation in the Event and/or activities of the exercise classes offered by Hollywood Run Club at any of the satellite exercise locations including but not limited to, Charnow Park, Hollywood Beach, Hollywood Beach Broadwalk and grant Hollywood Run Club the worldwide right in perpetuity, without compensation, to use my image or likeness for any purpose. By signing below (or, if submitted electronically, by clicking "I agree" to the above waiver which will constitute my valid signature), I acknowledge my understanding that my participation in the Event and/or any pre- or post-run club activities (the run club and pre/post-run club activities fire individually and collectively referred to as the "Event") involves rigorous physical activity and that it potentially may be hazardous. I attest and verify that I am physically fit and have sufficiently trained for the Event and that, if appropriate, my physical fitness to participate in the Event has been verified by a licensed medical doctor. I expressly assume all known and unknown risks associated with the Event, including but not limited to: loss of or damage to my property; injury (including death); accidents; the effects of weather; terrain conditions that may vary widely, and that may include uneven and/or slippery surfaces, unpredictable spectators and/or participants, and natural and man-made obstacles (including without limitation, vehicles, security barriers, signs, cables, mats, and debris on the course).
I agree to this waiver.
Age (as of Today)
Date of Birth
Zip Code (anti-spam question)
Email Newsletter Release
I agree to receive email communication from Hollywood Run Club.
Running Shoe Size
Favorite Running Shoe and Brand
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