The undersigned, in consideration of being provided with the opportunity to participate in a 5k running/walking event (“5k event”), hereby voluntarily represents and agrees as follows:

Liability Waiver and Release: I am voluntarily entering the 5k event. I agree not to enter the 5k event unless I am medically able and properly trained. I agree to abide by any decision of the 5k event coordinators regarding my ability to safely complete the 5k event. I recognize that participation in the 5k event is a potentially hazardous activity, and I willingly assume all risks associated with such participation, including but not limited to falls, contact with other participants, spectators, or others, effects of the weather, including heat and/or humidity, wind, cold, and wet or slippery surfaces, falling branches or other overhead objects, traffic, and the crowded nature of the event, all such risks being known and appreciated by me. In consideration of being accepted as a participant in the 5k event, I, for myself and anyone entitled to act on my behalf, do hereby release, waive, discharge, hold harmless, and covenant not to sue (a) the Town of Medway, Massachusetts (b) all sponsors and coordinators of the 5k event, including the IUOE Local 4 Health & Welfare Plan, IUOE Local 4, and other sponsors or coordinators of the 5k event, (c) all owners or lessors of the premises or recreational devices related to the 5k event, and (d) any employees, volunteers, including medical or nursing personnel, other representatives, agents, and successors of each of the foregoing (the “Releasees”), from present and future claims and liabilities of any kind, known or unknown, arising out of my participation in the 5k event, even though such claim or liability may arise out of negligence or fault on the part of any of the Releasees.

Authorization: I grant to the IUOE Local 4 Health & Welfare Plan and any coordinators or sponsors of the 5k event, and their designees, permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the 5k event, including without limitation arranging transportation to a hospital or other medical facility. I also grant them access to my medical records and physicians as well as other information relating to medical care that may be administered to me as a result of my participation in the 5k event.

Publicity Release: I grant permission to the IUOE Local 4 Health & Welfare Plan and IUOE Local 4 to use any photographs, video or sound recordings and/or any other record of my participation in the 5k event, including my name, picture, likeness, image and/or biographical information for any purpose without remuneration.

Acknowledgment of Understanding: I have read this Waiver/Release, and I fully understand its terms and conditions and understand that I am giving up substantial rights, including my right to bring actions against the Releasees. I acknowledge that I am signing this Waiver/Release freely and voluntarily and that I intend my signature to completely and unconditionally release the Releasees to the fullest extent allowed by law. I expressly agree that this Waiver/Release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Massachusetts and that this Waiver/Release shall be governed and interpreted according to the laws of Massachusetts. I agree that in the event any clause or provision of this Waiver/Release is held invalid, such invalidity shall not otherwise affect the remaining provisions which shall continue in full force and effect.