I, __________________________________, of legal age, Filipino, and a resident of ____________________________________________________________________________, do hereby confirm and declare that:
- I am participating in the EBC Family Fun Run on November 4, 2018 at the Philippine Arena, out of my own free will, desire, and volition;
- I am in good physical health and fit to participate in the EBC Family Fun Run, and have no known illnesses, physical defects, or adverse medical conditions that would render me unfit to participate in the Run;
- Should I subsequently discover any illnesses, physical defects, or adverse medical conditions that would render me unfit to participate in the Run, I shall advise the organizers in writing, and I shall accordingly refrain from participating;
- I hereby authorize the organizers and/or race sponsors to use my name, photographs, and interviews in connection with the Run in broadcast, print, online, or social media, etc. without any monetary consideration;
- I understand that it is my responsibility to prove my identity, if and when such is required by the organizers;
- I agree to abide by the decision of the organizers on any issue relative to my participation in the Run, including but not limited to falls, contacts with other participants, declaration of finisher, effects of weather, including heat and humidity, traffic, race conditions, and other factors related to the Run;
- I acknowledge that I am under no compulsion or pressure to participate in the Run, and if, in my opinion, the weather, temperature, humidity, race environment, or course condition on the day of the Run is not ideal or will pose a risk to my health and safety, I shall voluntarily withdraw from the activity;
- I agree and understand that, if I am no longer able to meet the curfew or time limits set in the race category I am participating in, I will retire/withdraw from the race immediately;
- If I insist on continuing the race, I hereby acknowledge and agree that I do so of my own volition and risk, and I knowingly and willingly waive and release all rights and claims, if any, that I may have arising from any injury, illness, or death that I may suffer and hereby hold the organizers, partners, and sponsors free and harmless from any liability arising from my decision to discontinue the race;
- I declare and understand the conditions of the activity I have entered into, will abide by its rules and regulations, and that all the above details are true and correct. I am aware and accept that all participants enter at their own risk;
- On behalf of myself, my heirs, and executors, I hereby waive and release all rights or claims I may have against the organizer, sponsors, and contributors for any illness, injury, death, damage, or loss I may sustain during, or as a consequence of the activity; and
- I hereby declare that I have read and understood this Affidavit and that I have executed this document willingly and voluntarily.
SIGNATURE ABOVE PRINTED NAME OF PARTICIPANT
Affiant
______________________________________________________________________________________________________
This section to be read and signed by parent/legal guardian if Participant is a MINOR:
As the parent/legal guardian of the above-named Participant, I hereby waive and release on behalf of my child/ward all rights or claims I may have against the organizer, sponsors, and contributors for any illness, injury, death, damage, or loss I may sustain during, or as a consequence of, the activity. In addition, I accept full responsibility for the care and supervision of my child during the above-described EBC Family Fun Run.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of ______________, 2018 at ___________________, Philippines.
SIGNATURE ABOVE PRINTED NAME OF PARENT/GUARDIAN
Affiant






