Waiver and Release for a child Event: MoDOT and MSHP Total Wellness 5k Date: September 22, 2018 In order for a minor child (under 18 years of age) to participate in this event, his/her parent or legal guardian must review and sign this release and waiver. I, ____________________ (parent/legal being the parent/legal guardian guardian name), of ________________ (minor and having read this release and waiver child name), before having signed it, and understanding its terms, content and meaning: I do hereby certify that ____________ (minor is in good health and child name) medically able and properly trained to participate in the event known as MoDOT and MSHP Total Wellness 5k (hereinafter, I acknowledge that running a “Run”). road race and participating in the Run is potentially hazardous activity, which could cause injury or death. I do hereby knowingly and voluntarily allow ____________ (minor to child name) participate in the Run at his/her own risk. I hereby acknowledge and assume all risks associated with ____________ (minor participating in the Run, child name) including but not limited to: falls, contact with other participants, the effects of the weather (including high heat and/or humidity), traffic, and the conditions of the road. I , for myself, my heirs and assigns, hereby irrevocably and unconditionally remise, release, acquit and forever discharge the Missouri Highways and
Waiver and Release for a child Event: MoDOT and MSHP Total Wellness 5k Date: September 22, 2018 In order for a minor child (under 18 years of age) to participate in this event, his/her parent or legal guardian must review and sign this release and waiver. I, ____________________ (parent/legal guardian name), being the parent/legal guardian of ________________ (minor child name), and having read this release and waiver before having signed it, and understanding its terms, content and meaning: I do hereby certify that ____________ (minor child name) is in good health and medically able and properly trained to participate in the event known as MoDOT and MSHP Total Wellness 5k (hereinafter, “Run”). I acknowledge that running a road race and participating in the Run is potentially hazardous activity, which could cause injury or death. I do hereby knowingly and voluntarily allow ____________ (minor child name) to participate in the Run at his/her own risk. I hereby acknowledge and assume all risks associated with ____________ (minor child name) participating in the Run, including but not limited to: falls, contact with other participants, the effects of the weather (including high heat and/or humidity), traffic, and the conditions of the road. I , for myself, my heirs and assigns, hereby irrevocably and unconditionally remise, release, acquit and forever discharge the Missouri Highways and
2018MinorWaiver5K.docx