Race Marshall Registration

2015 POI Race Marshall Registration

2015 POI Race Marshall Volunteer

    By clicking here you are confirming you want to register as a volunteer for: Race Marshall. Please be advised that with such a complex event we may ask you to help out in other areas/tasks as needed. Thank you for your willingness to be flexible so that we can have a successful event!
    In consideration of my participation in the Loma Linda University Medical Center East Campus PossAbilities Triathlon described herein, and having actual knowledge and appreciation of the particulars of the program and those risks involved in this type of activity/program, I voluntarily consent to participating in the activities/programs at this site, and assume all the risks arising there from.Activity/Program: PossAbilities TriathlonDate: April 26, 2015Location: Loma Linda University Drayson CenterDescription:RELEASE OF LIABILITY AND WAIVER OF CLAIMS. I, for myself and my personal representatives, assigns, heirs, and next of kin, hereby RELEASE, HOLD HARMLESS, WAIVE, DISCHARGE AND COVENANT NOT TO SUE, the officers, trustees, faculty, employees, representatives, agents, students, and volunteers of Loma Linda University Medical Center, Loma Linda University and their affiliated entities (the “Releasees”), from liability, claims, demands, losses or damages including personal injury, property damage, or otherwise, caused or alleged to be caused in whole or part by negligence, active or passive, of the Releasees that arise out of my participation in the herein named activity/program.CONSENT FOR MEDICAL TREATMENT. In the event of sudden illness, accident or injury which may occur while I am engaged in the PossAbilities Triathlon, I hereby authorize and consent to any appropriate medical care provided by any licensed physician, emergency room staff, licensed dentist, or other health care provider. I understand this authorization to provide advance consent to render care which the health care provider in the exercise of his/her best judgment may deem advisable. I further acknowledge that I am on actual notice that Releasees have no medical, health or hospitalization insurance to cover me in the event of an accident, injury, illness or death.I hereby declare and represent that in making, executing, and tendering this Statement of Voluntary Consent and General Release, I fully understand and acknowledge that I am relying wholly upon my own judgment, belief and knowledge of the circumstances involved in my participation at the described activity/program, and that I have read this statement, understand its contents and voluntarily executed it of my free will and choice.

 

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