I, for myself as well as for my heirs, executors, administrators, trustees, and assigns, hereby waive and release any and all rights and claims arising out of any fatalities, injuries and/or damages, including, but not limited to, demands or actions for negligence, premises liability, emotional injury, intentional conduct, tort claims, and any other actions or demands of whatsoever nature I have or may have in connection with my participation as a volunteer for any event sponsored by or in any way associated with the Get Ready to Run Kids’ School Program and/or the Get Ready to Run Kids' One-Mile Fun Run (hereinafter collectively “Event”) against the Event; Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company and its subsidiary companies, affiliates, successors, assigns, employees, agents, officers, directors, and volunteers; any city, town, municipality, political subdivision, or other organization or entity acting as the host of the Event and its representatives, volunteers, agents, employees, officers, directors, affiliates, successors and assigns, for any and all injuries or death suffered by me in or arising from said Event and otherwise agree to hold these entities harmless. I acknowledge that I am aware of the inherent risks (physical and otherwise) involved in volunteering for the Event and I voluntarily assume these risks. I further attest and certify that I am physically capable of performing the tasks required for the volunteer job(s) I have selected.
I grant to Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company and its subsidiary companies; the Event; and any sponsors and licensees of Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company and/or the Event the exclusive right to the free use of my name, voice and/or picture in any broadcast, telecast, advertising, website, promotion or other account of this event. I additionally authorize Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company and its subsidiary companies, affiliates, employee, officers, directors, volunteers, and agents to provide my image(s) to any media organization and, if my image(s) is (are) taken at an event, to the hosting organization of the event. Any time Blue Cross & Blue Shield of Mississippi provides this image(s) to a hosting organization it (they) will be accompanied by instructions that it (they) should only be used in a manner related to the event. I agree that any legal claim or dispute arising out of or in any way relating to my participation in this event will be governed by the laws of Mississippi and will be adjudicated exclusively by and in the courts of Mississippi.
By selecting the checkbox above, I represent that I am completing this form and agree to the above waiver/release.