LAST NAME __________________ RACE # ___________
KONA MARATHON EVENTS –PARTICIPANT
WAIKOLOA BEACH RESORT RELEASE AND LIABILITY WAIVER
Participating in any running event may expose participants to inherent dangers and risks associated with outdoor activities and the natural environment; this includes training for and participating in the Kona Marathon event which will include off-road running competition to be held at Waikoloa Beach Resort on Saturday, June 27, 2015 and Sunday, June 28, 2015 (the “Event”).
I acknowledge that I am fully knowledgeable of my own physical limitations and I certify that I am physically fit, have sufficiently trained for participation in the Event and have not been advised otherwise by a qualified medical person. I hereby agree to indemnify, defend and hold harmless Waikoloa Land Company, Waikoloa Resort Association, Waikoloa Beach Association, Waikoloa Development Company, Transcontinental Development (Hawaii) Co., AtPac (Hawaii) Limited Partnership, Queens’ Market, LLC, and their partners, parent entities, members, shareholders, subsidiaries, and affiliates, and any officer, director, representative, employee and agent of any of them (collectively, the “Releasees”) from and against any and all claims, demands, actions, causes of action, liabilities, suits, costs and expenses (including reasonable attorneys’ fees) which are related to, arise out of, or are in any way connected with my participation in the Event, including, but not limited to, negligence of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, default, omission, illness, injury or death, during or as a result of participation in the Event. Without limiting the generality of the foregoing, I hereby release Releasees from any and all liability for my death, disability, personal injury, illness, property damage or property theft as a result of my participation in the Event.
This Release and Waiver is binding upon my heirs, executors, administrators and assigns.
I understand that the Releasees will make no evaluation or recommendation with respect to whether I am sufficiently physically fit for this Event. I acknowledge that I have read this Release and Waiver and understand its contents.
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Print Participant’s Name Participant’s Signature
____________________________________________________________ ______________________ Address Telephone Number
Date:__________________________
Parent/Guardian Waiver for Minors (under 18 years old)
The undersigned parent and/or guardian does hereby represent that he/she is, in fact acting in such capacity and agrees to save, hold harmless and indemnify Releasees from and against any claims, actions, causes of action, liabilities, suits, expenses (including reasonable attorneys’ fees) which are related to, arise out of, or are in any way connected with said minor’s participation in the Event, including, but not limited to, negligence of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, illness, paralysis or death to said minor or by anyone on behalf of said minor, as a result of said minor’s participation in the above described activity.
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Print Participant’s Name Age Signature of Parent or Guardian Date
