Intro

Please remember three things for your first Running for Brews event:

1.) Safety – Be safe and look out for your fellow runners
2.) Social – Get out of your comfort zone, and meet someone new. (We don’t bite!)
3.) Brews – Drink responsibly

Thank You

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Running for Brews/BrazwellsPremiumPub
RELEASE AND WAIVER OF LIABILITY

1. Release and Waiver of Liability: THIS RELEASE IS EXECUTED ______DAY OF ___________, 2015-2020 by__________________________

2. The undersigned participant (“Participant”) is aware that participation in running events and related activities may result in accident or injury and participant assumes the risks connected with participation in said activities. Participant hereby represents that participant is in good health and does not suffer from any physical impairment which would affect participant’s ability to be involved in running or related activities. Participant acknowledges and is aware that Running for Brews or BrazwellsPremiumPub not and will not render any medical services including medical diagnosis of participant’s physical condition. In consideration of being permitted to participate, participant, for himself/herself and his/her personal representatives, heirs and next of kin, releases, waives, discharges and covenants not to sue Running for Brews or BrazwellsPremiumPub, its officers and members, owners and lessees of the premises, each of them their officers and employees, all referred to as releases, from all liability to and any claim or damage therefore on account of any injury to the person or property of the participant or resulting in the death of the participant whether caused by the negligence of the releasees or otherwise, while participant is participating in a running event or any related activity, to include getting to and from the running event.

Participant agrees to indemnify the releasees and each of them from any loss, liability, damage or costs releasees may incur due to the presence of participant in any scheduled running event whether caused by the negligence of releasees or otherwise.

Participant agrees to adhere to the specified route & safety instructions. (Notified by Route Maps & Organizer Announcements)

Participant assumes full responsibility for and risk of bodily injury, death or property damage due to negligence of releasees or otherwise while participating in a running event or related activity associated wit Running for Brews or BrazwellsPremiumPub.

Participant agrees that this Release, Waiver and Indemnity Agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of the Agreement is held invalid, it is agreed that the balance shall, not withstanding, continue in full force and effect.

Participant, being of lawful age, in consideration of being permitted to participate in running events and related activities at or associated with Running for Brews or BrazwellsPremiumPub does for himself/herself and his/her heirs, executors, administrators, and assigns hereby release and forever discharge Running for Brews or BrazwellsPremiumPub its officers, directors, shareholders, and employees, their heirs, administrators and executors of any and from any and every claim, demand, action, or right of action, of injury or personal injuries known or unknown, death, and/or property damage resulting from any incident which may occur as a result of participation in running events or related activity associated with Running for Brews or at BrazwellsPremiumPub, whether by negligence or not.

Participant further states that he/she has carefully read the above Release and knows the contents of the Release and signs this Release as his/her own free act.

Participant further releases any and all employees, officers, directors, and shareholders from any claim whatsoever on account of rendering first aid, treatment or services rendered during his/her participation in running events or related activity associated wit or at Running for Brews or BrazwellsPremiumPub.

Participant understands that there is no expiration on this waiver.
This Release contains the entire agreement between the parties to this agreement and the terms of this Release are contractual and not a mere recital.

______________________________

Participant’s signature

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.