Please read this form carefully and be aware that by registering for and participating in the 2019 January Jump Start Challenge (the “Challenge”), you will be waiving your rights to all claims for injuries you might sustain arising out of your participation in the Challenge and you will be required to indemnify, hold harmless and defend Lurong Living LLC its partners, sponsors or shareholders for any claims arising out of participation in the Challenge.
Risk of Injury: “As a participant in the Challenge, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities associated with this Challenge. I further state that I am in proper physical and mental condition to participate in the Challenge, that I do not have any existing conditions that would be affected or aggravated by participation. I am taking responsibility for monitoring my own health during this Challenge and will withdraw if I learn that my health is being adversely affected in any way or if advised to withdraw by a health care provider. My participation in the Challenge is voluntary on my part, and I assume full responsibility for determining the risks and potential risks of participation. I also assume the full risk of participating in it. ”
Waiver of Injury Claims: “I agree to waive and relinquish any and all claims I may have arising out of, connected with, or in any way associated with the activities of the Challenge.”
Release from Liability: “I do hereby fully release and discharge Lurong Living LLC, its employees, partners, sponsors, and shareholders from any and all claims from injuries, including death, damage or loss which may occur on account of participation in the Challenge.”
Indemnity and Defense: “I further agree to indemnify, hold harmless and defend Lurong Living LLC, its employees, sponsors, and shareholders from any and all claims from injuries, including death, damages and losses sustained by me and arising out of, connected with, or in any way associated with the activities of the Challenge.”
In the event of any emergency, I agree that I will be
responsible for payment of any and all medical services rendered.
I have read and fully understand and agree to the above Participant Liability Waiver and Hold Harmless Agreement.