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Group Run Name
Name (first, last) ____________________________________________
Address (Street, City, etc.) ____________________________________
Telephone ___________________Email _________________________
[ ] Yes, I am a member of Club Fat Ass
Release of All Claims
- I understand that Club Fat Ass Group Runs (“CFA Group Run”) are physically challenging and hazardous for even well-conditioned and prepared athletes under favorable conditions.
- I acknowledge and understand that participation in CFA Group Runs involves risks to my health and safety, including permanent injury or death, and I voluntarily assume those risks.
- I understand and acknowledge that neither Club Fat Ass nor CFA Group Run Hosts are responsible for assessing my ability to participate in CFA Group Runs and I have had made such inquiries as are reasonably necessary concerning CFA Group Runs to be able to declare that I am healthy and fit for CFA Group Runs.
- I understand that neither Club Fat Ass nor CFA Group Run Hosts provide participants accident, disability or other insurance and that I am solely responsible for providing such coverage as I deem necessary or prudent.
In consideration for being permitted to participate in CFA Group Runs, I hereby for myself and for my personal representatives and successors release and forever discharge CFA Group Run Hosts and Club Fat Ass, together with the officers, directors, employees, representatives, agents, sponsors and volunteers of each, of and from all actions, causes of action, claims, demands or compensation of any kind, whether presently known or unknown, and whether as a result of negligence or any other cause, arising out of or in connection with my participation in CFA Group Runs.
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--- Event Guest (signature) -------------------------- Date ---------------------
