Permission Forms ! ! Why Just with every special event on or off campus for students, parents/guardians must sign a permission form. The Boosterthon Color Run also requires a permission form to be signed in order for a student to run in the Boosterthon Color Run event. This ensures that all parties involved know the type of physical activity students will be participating in, and it allows parents/guardians to approve. ! ! How The permission form is set up as an online, click-through waiver that parents or guardians must complete when they first log on to www.funrun.com to register their student to begin helping their school. Students who do not have access to funrun.com will be provided a physical permission form to be signed by a parent or guardian and returned to the Boosterthon team before the Boosterthon Color Run event. ! Even if a student is not participating in the fundraising, they still must have a parent or guardian log in to www.funrun.com with their access code and complete the online waiver if they want to run in the Boosterthon Color Run event. ! ! Students Without Permission Forms On the day of the Boosterthon Color Run, there may be a few students who do not have permission from a parent or guardian to participate in the Boosterthon Color Run event. Although we hope all students get to participate, if a student does not have a waiver completed, then we must respect the wishes of the parent or guardian. We ask that the school provide teachers with an option for these students during their class’s scheduled Color Run time. ! ! BOOSTERTHON COLOR RUN PERMISSION FORM PARTICIPATION AGREEMENT, WAIVER, RELEASE AND ACKNOWLEDGMENT BOOSTERTHON COLOR RUN Please log on to www.funrun.com and enter your student’s access code in order to instantly give permission to your student.* Student Access Code:_________________ *If you log on to funrun.com and give instant permission, you do NOT need to send this paper version to your school. Or, fill out the below form and return to school before the day of the scheduled Color Run. ________________________________ (Participant’s Last Name). ______ (First Name Initial) ________________________________ (Participant’s Date of Birth) ___________________________________________ (Parent or Legal Guardian’s First and Last Name) Booster Enterprises, Inc. (“Booster”) has been engaged by your child’s school to host and organize a fun run/walk, as well as other learning activities and pep rally type events (collectively, the “Events”) to be held at the School during school hours. ! “The Boosterthon Color Run Events involve exercising and running – a strenuous activity that may include risks such as, but not limited to, physical exertion, falls and contact with other participants. I hereby expressly assume all risks, including personal injury and fatality, arising out of my child’s participation in these Events and related activities.” ! “It is my responsibility to ensure that my child’s clothing and equipment are properly fitted and appropriate for use in the Events. I represent and warrant that my child is physically fit and able to participate in the Events. My child agrees to stop and ask for assistance if he/she experiences any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain or any other conditions that would make it difficult or unsafe to continue.” ! “I agree, for myself, my heirs, executors and administrators, to not sue and release indemnify and hold harmless Booster Enterprises, Inc. (“Booster”), its affiliates, officers, directors, volunteers and employees and all sponsoring businesses and organizations and their agents and employees, from any and all liability, claims, demands, and causes of action whatsoever, arising out of my child’s participation in this event and related activities – whether it results from the negligence of any of the above or from any other cause. ! “The foregoing release and indemnification agreement shall be as broad and inclusive as is permitted by the State of Province in which the event is conducted. If any portion of it is held invalid, the balance shall continue in full force and effect. I have read, understand and agree to the terms of this Agreement.” ! “I am the legal guardian of the participant, and I hereby consent to his/her participation. I have read and explained the foregoing release and indemnification agreement to my child, and I hereby agree to its terms on behalf of myself and the Participant.” !! ! _______________ Date _____________________________________________________Signature of Legal Guardian* ! *The parent with legal custody of minor must sign if parents are divorced or separated PERMISO DE PARTICIPACION EN EL BOOSTERTHON COLOR RUN ! ACUERDO DE PARTICIPACIÓN , RENUNCIA, EXONERACIÓN Y RECONOCIMIENTO Boosterthon Color Run en la Escuela Primaria Kingsley ! ! ! ! ! ! ! Ingrese a www.funrun.com con el código de acceso de los estudiantes con el fin de dar permiso a su estudiante. Código de Acceso de Estudiante: _______________ O bien, llene el siguiente formulario y devuelvalo a la escuela antes del día programado del Color Run. ________________________________ (Apellido del Participante) ______ (Inicial del Nombre) ________________________________ (Fecha de nacimiento del participante) ___________________________________________________________________________ (Apellidos y nombres de los padres del participante o Tutor Legal) Booster Enterprises, Inc. (" Booster" ) ha sido contratado por la escuela de su hijo para acoger y organizar una divertida carrera / caminata , así como otras actividades de aprendizaje y eventos de tipo pep rally (colectivamente , los "Eventos" ) que se celebrará en la escuela durante el horario escolar . "Los Eventos del Boosterthon Color Run implican hacer ejercicio y correr - una actividad agotadora que puede incluir riesgos tales como, pero no limitado a , el esfuerzo físico , las caídas y el contacto con otros participantes. Por la presente asumo expresamente todos los riesgos , incluidos los daños personales y muerte , que surjan de la participación de mi hijo en estos eventos y actividades relacionadas " . "Es mi responsabilidad asegurar que la ropa y el equipo de mi hijo están bien ajustado y adecuado para su uso en los eventos . Yo represento y garantizo que mi hijo está físicamente en forma y capaz de participar en los eventos . Mi hijo está de acuerdo en parar y pedir ayuda si él / ella experimenta síntomas tales como, pero no limitado a , mareos, cansancio excesivo , falta de aliento , dolor o cualquier otra condición que harían difícil o peligroso para continuar. " " Estoy de acuerdo, por mí mismo, mis herederos , albaceas y administradores, de no demandar y liberar indemnizar y mantener indemne a Booster Enterprises, Inc. (" Booster " ) , sus afiliados , funcionarios, directores, voluntarios y empleados, y todas las empresas y organizaciones patrocinadoras y sus agentes y empleados, de cualquier y toda responsabilidad , reclamos, demandas y causas de acción de cualquier tipo , que surjan de la participación de mi hijo en este evento y las actividades conexas - ya sea como resultado de la negligencia de cualquiera de los anteriores o de cualquier otra causar . "El lanzamiento anterior y acuerdo de indemnización deberán ser tan amplio e inclusivo como lo permita el Estado de la provincia en la que se llevó a cabo el evento. Si alguna parte de ella no es válida, el resto continuará en pleno vigor y efecto. He leído, entendido y acepta los términos del presente Acuerdo " . " Yo soy el tutor legal del participante , y por la presente consiento a su / su participación. He leído y explicado la autorización y acuerdo de indemnización con mi hijo , y yo estoy de acuerdo en sus términos , en nombre mío y del participante . " _______________ Fecha _____________________________________________________Firna Del Tutor Legal * * El padre que tiene la custodia legal del menor debe firmar si los padres están divorciados o separados .
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