Waiver Release and Consent Conditions

In consideration of DON CHAFFIN RUN, INC. (DCR) permitting (me)(my child who is under 18) to participate in the DON CHAFFIN RUN event, I hereby, and for (me)(my child) heirs, executors, administrators, assigns and all legal guardians, WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, FOUNDED IN WHOLE OR IN PART UPON ANY TYPE OF NEGLIGENCE, that (I) (my child) may have against DCR, its directors, officers, employees, agents, chapters, assignees, licensees, volunteers and cooperating entities, their representatives, heirs, executors, administrators, successors and assigns (the “Release Parties”) arising out of or resulting from any and all injuries or damages of any nature, including death, which (I) (my child) may suffer while taking part in the event or any activities connected with the event. I UNDERSTAND THAT THIS MEANS I AGREE NOT TO SUE any or all of the Released Parties in connection with the event.

Consent also is hereby given to use (my) (my child’s) name, picture, portrait, likeness in any media for educational promotional and advertising purposes in furtherance of the corporate purposes and objectives of Don Chaffin Run, Inc.

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