GRC's PTI 10K Training Program
Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Phone:
Known injuries, limitations and/or medical conditions:
Assumption of Risk & Waiver:
I know participation in a running program is a potentially hazardous activity and I certify I am in good health and physically fit to enter into a training program. I acknowledge I am aware of the risks involved in athletic training in general and running training specifically. These risks include, but are not limited to: 1) scrapes, bruises, sprains and strains, 2) joint, muscle and bone injuries, concussions and other head injuries, 3) weather related injuries including heat exhaustion and stroke, dehydration and over-hydration and 4) catastrophic injuries such as heart attacks and other conditions, which could be fatal. My permission to participate in the program is completely voluntary, and I assume all risks associated with this training program. Having read this waiver and knowing these facts, and in consideration of accepting this training program, I, for myself, and anyone entitled to act on my behalf, waive and release the Greensboro Running Club, any and all founders/owners, directors, officers, employees, volunteers, sponsors and agents working for said entities, from all claims, and liabilities of any kind, arising out of, or related to my participation in this training program. I have read and know, understand and appreciate these and other risks that are inherent in training for and participating in road, trail and track running and racing and any condition and cross training activities associated with training. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I give the coaches of the Greensboro Running Club permission to administer first aid and/or CPR and to phone my physician or an ambulance should I be unable to do so. I further agree to indemnify and hold harmless the Greensboro Running Club from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my involvement in this training program.
I understand event photographs and/or video images may be taken during this program. I freely give permission for use of such photographs and video images in future Greensboro Running Club promotions without further communication or compensation.
Acknowledgement of Understanding
I have read this agreement and fully understand the agreement and its terms. I acknowledge I am signing this agreement freely and voluntarily, and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
By checking this box, I agree to the Acknowledgement of Understanding and confirm that I am 18 or older.
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