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1. Virtual 5K Fun Run/Walk 2020 - Individual

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By entering your name in the text box, you have read and fully understand the foregoing and certify and represent that the information provided is true.

 

Assumption of Risks: I acknowledge that I, and anyone participating with me, have voluntarily agreed to participate in the exercise activity with the Spine Intervention Society (SIS). I am/We are voluntarily participating with the full knowledge that: (a) the exercise and/or outdoor activities involve risks and dangers of serious bodily injury, including but not limited to, disability, paralysis and death, and property loss (i) these risks and dangers may be caused by participant actions, or inactions, the actions or inactions of SIS, or others participating in the activities, or negligence of others (but not willful or fraudulent) and (ii) there may be other risks and social and economic losses not readily foreseeable at this time.

 

I, AND ANYONE PARTICIPATING WITH ME, HEREBY AGREE TO BE RESPONSIBLE FOR OUR OWN WELFARE, AND ACCEPT ANY AND ALL RISK OF UNANTICIPATED EVENTS, ILLNESS, INJURY, EMOTIONAL TRAUMA, OR DEATH AND FULLY ACCEPT AND ASSUME ALL RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES THAT CAN INCUR AS A RESULT OF THE PARTICIPATION IN THE EXERCISE ACTIVITIES WITH SIS.

 

I hereby grant SIS full permission to use my photographs, videotapes, motion pictures, recordings, or other record of this event for any legitimate purpose, including commercial advertising.  Any information, comments, photos, and media of any kind posted in the SIS 2020 5k Community will become the property of the Spine Intervention Society.

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120 E. Ogden Ave. Ste. 202
Hinsdale, Illinois 60521
P: 630.203.2252
Toll Free: 888.255.0005

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