PARENTAL CONSENT RELEASE AND WAIVER OF LIABILITY  AND ASSUMPTION OF RISK AGREEMENT

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FOR GOOD AND VALUABLE CONSIDERATION, including permission for __________________________ (the “minor”) to  participate in Cinco De PRM: Cars & Comida 3K Run  and related activities, I, the parent/guardian of the minor for myself and on behalf of the minor:  

1. Consent to the minor’s participating in the event or activity; and agree that prior to the minor’s participation in the event  or activity the minor and I will inspect the facilities, equipment, and areas where the event or activity is being conducted and,  if either of us believes any of them are unsafe, I will immediately advise the person supervising the event, activity, facility or  area;  

2. Acknowledge that the minor and I fully understand that the minor’s participation may involve risk of serious injury or  death, including economic losses, which may result not only from the minor’s own actions, in-actions, or negligence, but also  from the actions, in-actions, or negligence of others, the condition of the facilities equipment, or areas where the event or  activity is being conducted, the rules of play, or this type of event or activity;  

3. Release, waive, discharge and relinquish Project Run Madera and The City of Madera and their officers,  employees, and agents from any liability, loss, damage, claim, demand or cause of action against them attributable to the  minor’s participation in the event or activity, whether same shall arise by their negligence or otherwise;  

4. Assume any and all risks of personal injuries to the minor and authorize The City of Madera or Project Run  Madera, to contact or employ a licensed physician to render any medical treatment that may be deemed necessary for the  minor or to take and admit the minor to any hospital. If such medical treatment or hospitalization is required, I agree to pay all medical and hospital bills relating thereto, permanent or partial disability, or death and damages to the minor’s or my  property, caused by or arising from the minor’s participation in the event or activity;  

5. Covenant not to sue or present any claim for personal injury, property damage, or wrongful death for or on behalf of the  minor against Project Run Madera, The City of Madera and their officers, employees, and agents attributable  to the minor’s participation in the event or activity;  

6. Agree that photographs, pictures, slides, movies, or videos of the minor may be taken in connection with the minor’s  participation in the event or activity without compensation from Project Run Madera or The City of Madera  and consent to the use of photographs, pictures, slides, movies, or videos for any legal purpose;  

7. Warrant that the minor is in good health and has no physical condition that would prevent the minor from participation in  the event or activity;  

8. Acknowledge that The City of Madera and Project Run Madera are not joint sponsors, joint ventures,  partners, or otherwise jointly engaged in the above named event or activity.  

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IMPORTANT:  

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THIS DOCUMENT RELIEVES Project Run Madera and The City of Madera AND OTHERS FROM LIABILITY FOR  PERSONAL INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE CAUSED BY NEGLIGENCE.  

BOTH PARENTS MUST SIGN UNLESS ONLY ONE PARENT IS LIVING OR UNLESS ONLY ONE HAS LEGAL CUSTODY.  LEGALLY APPOINTED GUARDIANS MUST SIGN AND FURNISH A CERTIFIED COPY OF LETTERS OF GUARDIANSHIP.  

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I HAVE READ THIS DOCUMENT, UNDERSTAND THAT I WILL GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN  VOLUNTARILY.