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5K Ambassador Form 2022

Thank you for your interest in being an ambassador for the SHA 5K.

We are looking for enthusiastic members of the SHA community to promote the SHA 5K and encourage people to get involved.

Fill out this form if you would like to be an ambassador. You will be contacted with more information.

Required fields marked with an asterisk *

SHA Affiliation*
Answer Required
Homeroon (Current SHA Students)
Answer Required

VOLUNTEER WAIVER AND RELEASE FORM RELEASE OF LIABILITY: In exchange for being allowed to participate in the Sacred Heart Academy 5K Race and all related activities, including any activities incidental to such participation (“Volunteer Activities”), I, individually, (and/or as a parent, and /or guardian of the named minor under the age of 18) and on behalf of my heirs, successors and assigns, release SACRED HEART ACADEMY, its president, principal, administrators, teachers, staff, parents, subsidiaries, affiliates, contractors, officers, directors, employees, agents or the Sisters of St. Joseph (collectively “Sacred Heart Academy”) from any and all claims, demands, actions, or causes of actions whatsoever arising out of, or relating to any injury, illness, loss or damage, including death, relating to my participating in the Volunteer Activities wherever, whenever, or however the same may occur. I further understand and agree that Sacred Heart Academy is not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by Sacred Heart Academy’s ordinary negligence or otherwise. I understand that participation in the Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and agree to accept all risks of participation. I further grant permission to any of the foregoing organizations to take and use photographs, video and recordings or any other record of this event for any purpose whatsoever. I also agree to indemnify and hold harmless Sacred Heart Academy for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state of New York and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I acknowledge that Sacred Heart Academy has not arranged and does not carry any insurance of any kind for Volunteers. I represent that, to the best of my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract which grants certain rights to and eliminates the liability of Sacred Heart Academy.

Waiver Electronic Signature*
Answer Required
Confirmation Email