1, *

First Name

Last Name

, wish to participate in the AdaptDaily Wellness 10K Walk to Run Clinic. I understand the nature of the program may involve physical exertion, which carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. In consideration of my participation, I hereby release and covenant not to sue AdaptDaily Wellness, its directors, officers, agents, employees, volunteers, and representatives (collectively "Releases") from any and all present and future claims resulting from ordinary negligence on the part of the Releases for property damage, personal injury, or wrongful death arising as a result of my engaging in or receiving instruction in the 13K Walk to Run Clinic activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs, or assigns. I am fully aware of the risks connected with participation in the clinic, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss, and I understand that these injuries or outcomes may arise from my own or others' actions, inaction, or negligence. I affirm that I am in good physical condition and am able to safely participate in this Walk to Run Clinic. I am aware that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during the Walk to Run Clinic. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between me and AdaptDaily Wellness and I sign it of my own free will. This waiver remains in effect for as long as I participate in any activity offered by AdaptDaily Wellness or until specifically revoked in writing by me. *

Digital consent

Digital Consent *

By typing first and last name, I am giving my digital consent in lieu of signature

First Name

Last Name

Date Signed *

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