Domestic Violence Center of Santa Clarita Valley S

Domestic Violence Center of Santa Clarita Valley’s

Sixth Annual Purple Walk of Strength 5K Fun Run

Registration Packet and Waiver

When? October 21, 2017; 7:00am-12:00pm (registration at 7:00am) (Run starts at 9:00am)

Where? College of the Canyons Cross Country Trails

26455 Rockwell Canyon Rd, Santa Clarita, California 91355

For Assistance Prior To Event: 661-259-8175 (DVC office)

23780 Newhall Ave

Newhall, CA 91321

For Assistance Day of Event: 661-428-2283 (Linda Davies)

Race Course Info: The College of The Canyons Cross Country Trails is 3.1 mile (5k) long trail through campus a forest-like environment. You can walk, jog, skip or turbo run. There will be race course personnel tossing colorful pigmentation at you along the way. Average temperature in Santa Clarita, California throughout the month of October is 76°/53° degrees.

What to Wear: White T-Shirts! The white t-shirts will show PURPLE off better. Wear comfortable shoes to run, walk, jog or skip in. Above all, make sure you wear clothing that you would paint in, roll in mud in, wrestle the dirty kid from Charlie Brown in. We can’t promise the natural dye won’t stain your clothes.

What to Bring Checklist:

v Cash & Credit Card

v Towels (paper/cloth)

v Sunscreen

v Bandana (optional)

v Sunglasses (goggles will be provided)

v Camera/Cell Phone

Facilities: Restrooms will be provided by College of the Canyons. There is plenty of parking on-site- simply follow directions by staff and park in designated areas.

When You First Arrive….

v If you pre-registered at http://www.dvc-scv.org/or in person at the Domestic Violence Center’s office in Newhall, CA

Please proceed to the Check-In Table to sign in, turn in your signed waiver and receive your swag bag.

v If you will be registering on-site

Please proceed to the Registration Table to sign waiver/release of liability form, pay your fees, and get your swag bag.

Sixth Annual Purple Walk of Strength 5K Fun Run

Registration Form

Name (last, first): ______

Additional Name: ______

Minor? (If yes, please provide parent name): ______

Email address: ______

Phone number: ______

Mailing Address: ______

City: ______State: ______Zip: ______

(Note: each runner will need to complete a Registration Waiver Form)

Registration Amount: (NOTE: Children 5 and under are free)

Number $ Amount

Pre-Registration Only $20.00 Each Walker/Runner ______

Day-of Registration $25.00 Each Walker/Runner ______

Team of Four Runners $60.00 ______

Additional Team Runner $10.00 (Ten maximum per team) ______

Total Amount: ______

We accept cash, check, debit or all major credit cards. Please make checks out to: DVC of SCV.

To pay by debit or credit card, visit our website at dvc-scv.org.

Signature (Parent’s Signature If any participants are under 18) Date

Sixth Annual Purple Walk of Strength 5K Fun Run

Voluntary Activity Participation Waiver

Release of Liability

Participant Name:
Participant Name:
Participant Name:
Date:
Minor? (please provide parent name)

1. Activity and Associated Risks: I understand and acknowledge that I am entering the Sixth Annual Purple Walk of Strength 5K Fun Run (herein referred to as subject event or Activity) voluntarily and at my own discretion.

· I understand and acknowledge that the subject event, by its very nature, poses a potential risk of serious injury/illness.

· I realize that the subject activity may be strenuous and physically challenging.

· I understand and acknowledge that engaging in running/walking/jogging through rural trails while colorful pigmentation is thrown at me exposes my person to the following:

§ Sprains/Fractured bones / § Temporary/Permanent damage to all worn apparel / § Unconsciousness
§ Head, leg(s) and back injuries / § Paralysis / § Activity related injury/illness
§ Loss of eyesight / § Communicable diseases / § Death

The above list is not intended to be inclusive of all potential injuries/harm that may occur but rather to inform me of the types of risks inherent in my participation in the subject event, so that I can make a fully informed, voluntary choice to participate.

In consideration of the permission to participate in the Activity, I agree to the terms contained in this document.

2. Assumption of the Risks: I hereby freely assume of my own free will all above mentioned risks and any harm,

injury or loss that may occur to my own person or my own property as a result of my participation in the subject event. I understand that the utilization of the rural trails at the College of the Canyons is at my own risk. I understand that the clothing and shoes I choose to wear to the Sixth Annual Walk of Strength 5K Fun Run may incur irreversible damage due to the natural dyes present in the pigment that will be utilized in the subject event. I fully understand that the Domestic Violence Center of Santa Clarita Valley has no intent or implied intent in damaging participants’ clothing but that this is an uncontrolled incident that may naturally occur due to the nature of the subject event.

3. Release of Liability: I hereby voluntarily exempt and relieve, on behalf of myself, my heirs, executors,

administrators, the Domestic Violence Center of Santa Clarita Valley and each of its personnel, volunteers and staff, from any personal injury, property damage, bodily injury, or wrongful death that I might sustain which is incident to and/or associated with preparing for and/or while participating in the subject event. I understand that pursuant to this signed release of liability, I am deemed to have waived any claims against the Domestic Violence Center of Santa Clarita Valley and the organization’s personnel, volunteers, and staff. This release includes claims for the negligence of the Released Parties and claims for strict liability for abnormally dangerous activities. This release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be excluded by this agreement. I also agree to NOT SUE or make a claim against the Released Parties for death, injuries, loss or harm that occurs during or in preparation for the Activity.

4. Indemnification Hold Harmless and Defense: I promise to Indemnify, Hold Harmless and Defend the Released

Parties (defined in Section 3) against any and all claims to which section 3 of this agreement applies, including claims for their own negligence. I also promise to Indemnify, Hold Harmless and Defend the Released Parties against any and all claims for my own negligence, and any other claims arising from my own conduct during the Activity. In accordance with these promises, I will reimburse the Release Parties for any and all damages, reasonable settlements and defense costs, including any attorney’s fees, which they may incur because of any claims I have made against them. I agree that in the event of my death or disability, the terms of this agreement, including the indemnification obligation in this Section, will be binding on my estate, and my personal representative, heirs, executor, administrator or guardian will be obligated to respect and enforce them.

5. Agreement to Follow Directions: I agree to follow the rules for the Activity that have been provided to me and

to follow any directions given to me by the personnel, volunteers/and or staff supporting the Activity.

6. Independent Contractors/Vendors/Entities: I acknowledge and accept that the Domestic Violence Center of

Santa Clarita Valley, its personnel, volunteers, and staff have no direct control over and assume no responsibility for the actions of any independent contractor(s), vendor(s) or entities operating in support of/present at the Activity.

7. Use of My Likeness: I understand that during the subject event, I may be photographed or videotaped. To the

fullest extent allowed by the law, I waive all rights of publicity or privacy or pre-approval that I may have for any such likeness of me or use of my name in connection with such likeness, and I grant to the Domestic Violence Center of Santa Clarita Valley permission to copyright, use and publish (including the internet) such likeness of me without restrictions and for any purpose.

8. Severability: I agree that the purpose of this document is for it to be an enforceable release of liability and

indemnity as broad and as inclusive as is legally permitted by California law. I do agree that if there is any portion of this document found to be invalid or unenforceable by litigation or mediation, then the remainder of the agreement will continue in full force and effect.

9. Applicable Legal Fees: This agreement is ruled by and shall be interpreted in accordance with the laws of the

state of California, without any reference to a choice of laws. I agree that any dispute or claim arising from this agreement or in any way associated with the subject event shall be brought only in a state or federal court located in Los Angeles County, California. I agree to the jurisdiction and venue of the courts for any dispute or claim. In any litigation in which the validity or enforceability of this agreement is contested, I do agree that the prevailing party will pay all attorney’s fees and costs of the parties seeking to uphold this agreement.

I acknowledge that I have carefully read and understand that this Voluntary Activity Participation Waiver and Release of Liability and that I agree to its terms and conditions.

Signature of Participant or, if the participant is a minor, Parent/Guardian Date

Page 5 of 5

Domestic Violence Center of Santa Clarita Valley

PO Box 220037, Newhall, CA 91322