Waiver and Release of Liability

I, the undersigned, am a person at least 18 years of age (if not over 18 must be signed by a legal guardian), and I desire to voluntarily participate in The Kenya Run For Clean Water Fundraising (the “Program”), sponsored by Good Hope, Inc, (“Good Hope”).

I acknowledge that such Program may be hazardous and I hereby assume all responsibility and risk for any accidents, sickness, or other mishaps, including, but not limited to, serious bodily injury, permanent disability, and/or death, that may result to me on the Program. In connection with my participation in the Program, I hereby waive my rights to any claim, cause of action, and/or the right to file a law suit against Good Hope, or against any of its affiliates, parent organizations, directors, officers, sponsors, employees, agents, volunteers, successors and assigns. I further release all such organizations and/or persons from any and all responsibility or liability of any nature whatsoever for any loss or damage to my person or property, including, but not limited to, personal injury and/or death sustained on or through the Program.

This Waiver and Release of Liability is binding upon my personal representatives, trustees, heirs, successors, beneficiaries, relatives, next of kin or assigns and shall inure to the benefit of all organizations named herein as well as to their directors, officers, sponsors, employees, agents, volunteers, successors and assigns.

If any provision of this document is held to be invalid or unenforceable, this form shall be construed as if the invalid or unenforceable provision was not contained in the document.

Electronic signatures are to be accepted as a typical ink signature and will bind the signature to the terms of this release.

Yes, I have carefully read this Waiver and Release of Liability. By my signature, I am stating that I understand, agree to, and accept all of its provisions, and understand that I am giving away substantial legal rights.

Your Full Name

Your E-mail

Your Phone Number

Date of Birth

Your Full Address

If participating as a team
Team Leader Name
Team Leader E-mail
Team "Nickname"

Please upload a picture of yourself or your team. This picture will be used for the fundraising page. Formats acceptable are png, jpg, jpeg, and pdf (limit 1MB).

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