ADC Race Volunteer Waiver

DEAR VOLUNTEER PARTICIPANT:

Please complete the following fields and agreement below.

ADC 2009 Race Volunteer Waiver

*Indicates Required fields

*First Name: *Last Name I am Deaf/Hard of Hearing Hearing Gender: Male Female

*Address * City, State, Zip *Birthdate (format: YrMoDay)

Phone VP V TTY *Email

*How comfortable are you using American Sign Language (ASL)?

*T-Shirt Size XXL XL L M S

Where did you Hear about this race?

Which Category are you most interested in doing?

Do you have a 2nd Choice of Category?

Are you volunteering with a company? If YES, please indicate the company name:

*Association for Deaf Children & whatQGA 5K/1 mile Race Volunteer Waiver

I wish to help produce the Association for Deaf Children 5K/1 mile Race and associated activities. I understand that a condition of my participation is that I sign this waiver. I understand that there are many risks associated with my involvement. They include, but are not limited to, the risk of being in a large moving crowd and attempting to control that crowd to enforce rules; that some people may physically resist enforcement of the rules, the fact that motorists may aggressively seek to enter the course; the fact that there are authorized vehicles on the course which are sometimes confronted with confusion and the necessity of making split second decisions; the fact that the vehicles carrying spectators and the press are awkward, relatively unstable and cumbersome; and the fact that there are often environmental factors such as heat, cold and wind which may make my participation hazardous. I expressly agree to assume the risk of this activity, to release and to indemnify the Association for Deaf and whatQGA, and their officers, agents and employees from any liability for any injuries, accidents, illnesses, damages or claims which I may sustain as a result of my participation in this activity.

I also understand that this activity may include, but is not necessarily limited to, strenuous extended long distance running and walking in public and/or private streets, paths and trails in uncertain weather conditions among race participants, all which put me at the risk of personal injury, illness or even death. I agree to be responsible for, to release and indemnify the Association for Deaf Children and whatQGA for any expenses incurred or damages suffered as a consequence of my participation in this activity and that I am at least 18 years of age, or have a parental/guardian permission signature because I am under the age of 18.

In signing this waiver, I acknowledge and represent that I have read the foregoing Association for Deaf Children 5K/1 mile Race Volunteer Waiver, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements or inducement, apart from the foregoing written agreement, have been made; and I execute this agreement for full, adequate and complete consideration fully intending to be bound by same.

I grant permission to Association for Deaf & whatQGA to utilize any and all photographs, motion pictures, videotapes, etc. which may depict me for any purpose, including commercial use by the race, its sponsors and their licensees.

By inserting my name and email, I am accepting the terms and conditions listed above.

Signature (Type Full Name) Your Email Address

PARENT Signature (Type Full Name) PARENT Email Address

Thank you for your help with this year's ADC Race! We are thrilled to have your help and are excited to work with you!