Canada Marathon Participant Application, Waiver & Release by Megadox

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									                               [NAME OF MARATHON / RACE]
                      APPLICATION FORM, WAIVER & RELEASE

PARTICIPANT INFORMATION:
Participant’s Name:

Address:


Phone Number(s):                                             Email:

Date of Birth:                                               Shirt size for running     XS / S / M / L / XL /
                                                             singlet (circle one):      XXL
Previous Running Experience:                                 Longest run in past
                                                             month:
Longest run in past year:                                    Will you be running or
                                                             walking the race?
Emergency Contact Information:
Name of Contact:

Relationship to Participant:                                 Phone Number(s):



                               WAIVER and RELEASE OF LIABILITY
WARNING: THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS, READ IT CAREFULLY!
Participants must be over the age of majority. Every participant must read and understand this Waiver and Release
of Liability prior to participating in the event.

In consideration for being permitted to participate in the __________________________ [insert name of
marathon / race / program] (the “Event”), I hereby agree to assume all risks and responsibility, and to
release and hold harmless _____________________________ [insert names of organizers], their employees,
sponsors, trainers, coaches, and affiliated parties (collectively, the “Organizers”), from any and all claims,
actions, causes of action, proceedings, damages, costs, demands, including hospital costs, court costs and
costs on a solicitor and his own client basis, and liabilities of whatsoever nature or kind arising out of or
in any way connected with my Participation in the Event.

I acknowledge and understand that there are inherent and significant risks associated with participation
in the Event, including (but not limited to) the potential for serious personal injury caused by any
equipment provided by the Organizers, and health risks such as light-headedness, fainting, increased or
decreased blood pressure, chest discomfort, muscle cramps, strains, sprains, abnormal heart rate,
soreness, nausea, heart attack, stroke and possibly death. I understand that such risks are relative to my
level of fitness and health.

I understand that the coaches, trainers, and other individuals involved in staging the Event are not
licensed physicians and any suggestions or recommendations they may make regarding any aspect of my
training or physical fitness are not being given as medical advice.

I verify that I am physic
								
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