Couch to 5k Registration

The Greater Muhlenberg Parks and Recreation System and Poole’s Pharmacy Care are committed to conducting its recreation programs and activities in the safest manner possible in the highest possible regard. Participants and parents registering their child for this event must recognize, however, that there is an inherent risk of injury when choosing to participate in recreation activities. The GMPRS continually strives to reduce risks and insists that all participants follow safety rules and instructions which have been designed to protect the participant’s safety.

WAIVER AND RELEASE OF ALL CLAIMS
Please read this form carefully and be aware in registering yourself or your child/ward for participation in the above program, will be waiving and releasing all claims for injuries you or your minor child/ward might sustain arising out of the Couch to 5K event.

I recognize and acknowledge that there are certain risks of physical injury to participants in the above program and I agree to assume the full risk of any injuries (including death), damages or loss regardless of severity which I or my minor child/ward may sustain as a result of participating in this event against Poole’s Pharmacy Care and the GMPRS and officers, agents, servants, or employees.

I do hereby fully release and discharge Poole’s Pharmacy Care and the GMPRS and its officers, agents, and employees from any and all claims from injuries, damage or loss which I or my minor child/ward may have or which may accrue to me or my minor child/ward and arising out of connected with, or in any way associated with the above event. I further agree to indemnify and hold harmless and amend Poole’s Pharmacy Care and the GMPRS and its officers, agents, servants, and employees from any and all claims resulting from injuries, damages and losses sustained by me or my minor child/ward arising out of, connected with, or in any way associated with the activities of the program. In the event of any emergency, I authorize the GMPRS officials to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my minor child’s/ward’s immediate care and agree that I will be responsible for payment of any and all medical services rendered.