I understand that participation in the 2023 Health Ministry 5K Walkathon involves certain activities and risks and may result in unavoidable injuries. I further understand that the facilities used or will be used for the event may create additional risks and possibility of injury or injuries that I may suffer. I am fully aware of these risks and the possibility of injury involved and I acknowledge that I am assuming the risk or any and all injuries that I may suffer by participating in the 2023 Health Ministry 5K Walkathon. I, the undersigned, my heirs, assignees and personal representatives, hereby release and hold harmless Diocese of Chalan Kanoa, its affiliates, subsidiaries, officers, directors, employees, agents, sponsors, and successors, from any and all claims, causes of action, suits or liability, costs and expenses (including, without limitation, reasonable attorney’s fees), whether based upon negligence, active or passive, or any other act of omission, arising directly or indirectly out of or relating in any legal way to my registration and participation in the 2023 Health Ministry 5K Walkathon including its related activities, and waive and promise not to sue such person or entity based on such claim, liability, damage, loss, cost or expense.
I hereby certify and acknowledge the following:
That I have full knowledge of the nature and extent of the risk inherent in my participation in the 2023 Health Ministry 5K Walkathon and I am voluntarily assuming all the risk. Further, I understand that I will be solely responsible for any loss or damage, including death, I sustain with my participation. That I am in good health and that I have no physical limitations which would preclude my participation in the 2023 Health Ministry 5K Walkathon and that my participation is purely voluntary, no one is forcing me to participate such as but not limited to my employer, manager or supervisor and I elect to register and participate in spite of the risks.
That my signature below indicates that I have had sufficient opportunity to read this entire document, that I have read it, and that I understand it affects my legal rights, and I agree to be bound by its terms. That I have read, understand and will follow the Rules and Regulations of the 2023 Health Ministry 5K Walkathon. That all facts stated in this document are true and correct.
I hereby give consent to Diocese of Chalan Kanoa, its affiliates, including the members, agents and volunteers, to take photographs, video recording, and/or sound recording in documenting the activities of the 2023 Health Ministry 5K Walkathon or related activities and I expressly grant them to use the negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for Diocese of Chalan Kanoa’s educational and promotional purposes in manuals, on flyers, on the internet, or in other publications.
Should I become ill or injured while participating in the 2023 Health Ministry 5K Walkathon or related activities (if applicable under the circumstances of the immediate instance of the illness or injury), I give permission and hereby grant authority for Diocese of Chalan Kanoa, its staff, members, agents and volunteers, should they deem necessary but without their obligation, to: (a) render first aid emergency treatment; and/or (b) to obtain emergency care myself; and/or (c) to obtain the medical attention they may deem necessary for or myself such as but not limited to transport to a hospital or emergency medical facility for treatment. I further authorize them to execute that consent required in connection with such advice or treatment. I hereby release and hold them harmless against any liability arising out of the exercise of the authority here granted.
I understand that the release and waiver in this registration is intended to be as broad and as inclusive as permitted by the laws of the CNMI and I agree that if any portion is held invalid, the remainder of this registration including its release and waiver will continue in full force and effect.
