WAIVER OF LIABILITY: I have been fully informed and know that participating in the ADM Recovery Challenge 5K (“the Event”) is a potentially hazardous activity, involving an obstacle course race. I represent that I am physically able and properly trained for the Event and I agree that I will not participate in the Event if I become physically unable to do so, whether or not I have been cleared medically to participate. I agree to abide by any decision of an Event official relative to my participation in the Event. I am voluntarily entering and
assume all risks associated with participating in the Event, including, but not limited to injury from falls, stumbles, twists, strains, sprains, contact with obstacles, other participants, spectators or others, vehicular or other traffic, the effect of the weather, including heat and/or humidity, precipitation, wind, cold temperature, wet or icy surfaces, falling tree branches or other overhead objects, traffic and other conditions of the course such as depressions and holes or natural or other objects on the course, all such risks being known and appreciated
by me. Having read this Waiver and knowing these facts, and in consideration of your acceptance of this application, I, for myself and for my heirs, spouse, relatives, executors, administrators, personal representatives, transferees, successors, and assigns, waive and release the Released Parties (defined below), from present and future claims, liabilities, damages, losses, expenses, or requests for relief of any kind, known or unknown, arising out of my travel to or from or my participation in the Event or related activities, including but not limited to personal injury or death, loss of consortium, or property or economic damage, whether caused in whole or in part by the Released Parties or any other person or thing at the Event and even though such claim or liability may arise out of the intentional acts, gross negligence or other fault on the part of any of the Released Parties. This Waiver and Release is to be broadly construed in favor of the Released Parties.
PUBLICITY RELEASE: I grant permission to each of the Released Parties to use or authorize others to use any photographs, motion pictures, recordings, or any other record of my participation in the Event or related activities, including my name, for any legitimate purpose without remuneration.
RELEASED PARTIES: This Waiver and Release is given to ADM Recovery Challenge 5K, Ohio Challenge Series, RS Racing Systems, the City of Akron and its agencies and departments, the County of Summit and its agencies and departments, the County of Summit Alcohol, Drug Addiction and Mental Health Services (ADM) Board and its agencies and departments, IBH Addiction Recovery Center and its agencies and departments, Coventry Township and its agencies and departments, Goodyear Boating & Yachting Association, Akron Yacht Club, The Bishop of the Diocese of Cleveland, and all sponsors and officials of the Event, and the past, present and future officers, directors, members, shareholders, employees, contractors, volunteers, agents, attorneys, representatives, sureties, insurers, assignors or assignees, predecessors and successors of each of them.
GUARDIAN'S PERMISSION AND RELEASE FOR MINOR: If I am signing this Waiver and Release on behalf of a minor, I understand and agree that my child's participation in this Event is by my fully informed choice and, I agree that the Waiver and Release above applies equally to my child and me and any claims I and the child’s other parents or guardians and the child may have. Without limitation, I also waive any derivative claims that relate to or arise out of my child's participation in the Event. I also agree that the Publicity Release above applies to my child and me.
RULES OF THE EVENT: I agree that attendance and/or participation in the Event is subject at all times to any and all rules and regulations of the Event.
The confidentiality of alcohol/drug abuse client records maintained by the IBH Addiction Recovery Center facility is protected by Federal Law and Regulations. Generally, the facility may not say to a person outside the program that a client attends the program, or release any information identifying a client as an alcohol/drug abuser UNLESS:
1. The client consents in writing;
2. The release of information is allowed by a court order;
3. The disclosure is made to medical personnel in a medical emergency or to qualified personnel (authorized by the Administrative
Board) for research, audit, or program evaluation.
Violation of the Federal Law and Regulations by a program is a Federal offense. Suspected violations may be reported to appropriate authorities in accordance with Federal Regulations.
I understand and agree that in the performance of my duties at IBH Addiction Recovery Center, I must hold client information in confidence. I understand further that State and Federal statues may subject me to fine or imprisonment.