Register Now (Print & Mail)

2015 Jingle Bell Beach Run 5K & 1-Mile Run Waiver:
I am participating in the 2015 Jingle Bell Beach Run (5K or 1-Mile) and I agree to comply with the rules, regulations and
event instructions. I understand that participating in a road race is a potentially hazardous activity and can result in
serious injury or death. I also know that the roads will not be closed to traffic entirely, there will be traffic on the course
route. I am aware of and I expressly assume all inherent risks associated with participating in this event, including, but
not limited to: falls, contact with other participants, and objects, the effects of weather, including high heat and
humidity, traffic, shoulders of the roads and sidewalks, overall conditions of the road, conditions of post race awards
areas, and any other serious injuries that may result including death. In consideration of your accepting this entry, I for
myself and anyone entitled to act on my behalf, my heirs, executors, administrators or anyone else who might claim on
my behalf, WAIVE, RELEASE AND DISCHARGE the Jingle Bell Beach Run, Hawaii Sport Events LLC, Rani and William
Henderson, Coconut Grove Marketplace and its tenants, Cord D. Anderson, Brad R. Anderson, Dominis G. Anderson - the
owners or management of the grounds or location where the event is held, Hawaii Police Department, USA Track and
Field, Sponsors, State of Hawaii, County of Hawaii, the United States of America, from any and all claims of personal
injury, bodily injury, property damage, other damages, losses and/or death caused by the negligence of any of them
arising out of my participation in this event, including pre and post race activities. If I am an Operator or Occupant of a
Stroller, or Assisted Wheelchair, I agree that I am fully responsible for my own safety and the safety of the occupant of
the Stroller, or Assisted Wheelchair. (Safety is defined as doing everything reasonable necessary to avoid or prevent an
accident including, but not limited to operation with safe speed and equipment and avoiding risks). I CONSENT to
receive medical treatment that may be advisable in the event of illness or injuries suffered by me during this event, and
I agree to pay for all costs of my own medical treatments. I PERMIT the use of my contact information by Hawaii Sport
Events LLC, its sponsored events and sponsors. I ATTEST that I have been made fully aware of the risks that may be
involved with participating in this event. I CERTIFY that I am physically fit and have sufficiently trained for competition of
the Jingle Bell Beach Run.
** Consent for use of photographs and images **
NOTICE: This event is being photographed and/or video recorded for non-commercial promotional purposes. Your
presence constitutes consent that your image may be used, without compensation or legal recourse. No images will be
used in any form to promote third party commercial enterprises.
I CONSENT for use of photographs and images. (In an effort to enhance promotions for our event and activities, your
photograph may appear in the local newspaper, or other journals, as we visually capture you enjoying your experiences
on the Big Island.) As such, I hereby give Hawaii Sport Events LLC, the right and permission to use, re-use, publish and
re-publish photographs(s), slides, videotape, other film images and/or other likenesses taken of me during my
participation in the event. Hawaii Sport Events LLC may use the images in whole, or in part, individually or in conjunction
with other images in any medium and for any purpose, including, but not limited to illustration, promotion, advertising
and trade, and to use my name in connections therewith. I hereby DISCHARGE Hawaii Sport Events LLC from any and all
claims and demands arising out of, or in connection with, the use of the images.
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By signing this, I AGREE to all the terms of this waiver and release statement.
I UNDERSTAND that any and all fees paid by me in association with this event are non-refundable and non-transferable.
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Print Name of Entrant
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Signature of Entrant (or parent/guardian if entrant is under the age of 18)
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Date