Unity for the CommUNITY Calvary 5K Run/WalkSeptember 24, 2016 Unity for the CommUNITY Calvary 5K Run/Walk 4485 Austell Powder Springs Road Powder Springs, GA 30127 View Map Organized by Unity for the CommUNITY Calvary 5K Run/Walk
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Unity for the CommUNITY Calvary 5K Run/Walk4485 Austell Powder Springs Road Powder Springs, GA 30127
"Unity For The Community"
Praise the Lord & Greetings,
We are asking you to join us in the journey of faith, stewardship, and giving. Unity for the commUNITY is an event that provides an opportUNITY for non-profit organizations of all sizes to raise awareness and to raise funds. It also gives individuals, groups, and businesses an opportUNITY to support the organization of their choice. This plan for our community of faith is to make a difference for eternity in the lives of children, students, and adults as we move forward in faith.
Thank you for visiting our fundraising campaign. Please consider making a donation in support of our event participants or directly to the charities supported by this event. Any amount is greatly appreciated!
Unity for the CommUNITY Calvary 5K Run/Walk
Event details and schedule
In consideration of Calvary's sponsorship of this Event and my being permitted to participate in the Event, I, on behalf of myself, my successors in interest, heirs, assigns, and representatives, hereby fully release and hold harmless Calvary Christian Ministries, Inc., their Officers, Trustees, Members, agents, employees, volunteers, any medical providers working for or on behalf of the program, and representatives, successors, and assigns (be they individuals or organizations), together with their insurers and sponsors (collectively Calvary Christian Ministries, Inc.) of and from any and all liability, claims, damages, actions, and causes of action whatsoever, on account of any loss, damage or injury to person (including death) suffered by me at any time hereafter arising out of my voluntary participation in this Event, whether resulting from Calvary's negligence or otherwise (collectively liabilities).
I also give permission to Calvary to freely use my name, picture, and voice in any broadcast, telecast, print account, or any other account in any medium of this Event (the "Personal Release"). I understand that this Personal Release is perpetual in time and that it encompasses, without limitation, any copyright or right of publicity or privacy that I may have in my name, picture, and voice.
Consent and Information Release ("Consent") I hereby grant permission to Calvary to render preventive or first-aid assistance or seek treatment or medical care that it seems reasonably necessary, including hospitalization, for my health and well being. I also give permission to Calvary to use and disclose my personal health information (PHI) in the ways described in this form. I allow Calvary to use my PHI as necessary for purposes related to my treatment. I also allow Calvary to give out my PHI to doctors, hospitals, ambulance companies, coaches, family members, and others involved in my care and treatment. My PHI may also be used and given out as necessary to run the Event or as necessary for the proper management and administration of Calvary. This Release and Consent will be governed by and subject to the laws (except the choice of law principles) and exclusive jurisdiction of the courts of the state of Georgia. Date:______________ Signature of Participant______________________
* Must be signed by parent or legal guardian if the participant is under 18 on the date this release and consent is signed. I the undersigned hereby certify that I am the parent or legal guardian of the participant, and as such and on behalf of myself and the participant, i agree to the terms of this Release, including the consent, on behalf of the Participant and I hereby, in accordance with the terms of such Release, release and hold harmless Calvary Christian Ministries, Inc. (as defined above) from all Liabilities (as defined above).
Date: ______________ Signature____________________________________