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2024 The Color Run 上海站
2024年10月26日星期六
上海市浦东新区森兰绿地中段
选手知情和免责声明书
免责协议及身体健康承诺书 请在签署前仔细阅读此免责协议及身体健康承诺书. 我确认5公里The Color Run™（以下简称“彩色跑”）将挑战个人的体力和心理素质，并具有潜在的死亡、 受伤以及财产损失的风险。我在此明确承认将自行承担参加“彩色跑”项目所可能存在的一切风险。我将证明我的身体状况能够适应于该项运动，并为参加此运动进行了充分的训练，且没有合格的健康方面的专家建议我退出该运动。 我在此为我本人、我的执行人、管理人、继承人、直系亲属、受让人以及任何可能代表我提起赔偿请求或诉讼的 人做出以下列明的行为，并在此明确承认我是自愿做出这些行为的： (a) 我同意遵守“彩色跑”所采用的活动规则； (b) 我同意在参加赛事前检查赛道、设施、设备以及比赛的区域，如果我发现存在任何不安全因素的话， 我将告知监管该赛事、设施或设备及区域的相关人员； (c) 由于我参加此项赛事以及参加赛事的来回途中所发生的或相关引起的死亡、人身伤害、局部或永久性伤残、财产损坏、医疗或住院费用、任何形式的盗窃或财产损失包括经济损失和/或物品失窃等，我将放弃并免除以下人员及单位的一切赔偿责任及其他相关责任：赛事主办方、赛事承办方、赞助商、比赛总监、工作人员、赛事所有方、志愿者、 赛事或部分赛事的举办国、城市或所在地、以及以上赛事的官员、董事、雇员、代表、志愿者以及代 理人； (d) 我同意如果出现紧急情况（如受伤或生病）需要进行医疗急救，我特此授权医务人员对我进行救助。 我有以下疾病史及药物过敏情况：（ ）如没有，请填写没有。 (e) 我确认赛道上有交通状况，我将承担参加此赛事并在赛场上赛跑的所有风险。我还将承担与参加该赛事有关的一切其他风险，包括但不限于摔倒、与其他参赛人员发生接触和/或碰撞、天气引起的后果（包括高温或潮湿天气）、设备的缺陷、公路以及公路铁路交叉口的状况、水障碍、并发症以及观众或志 愿者可能带来的其他危险，我对这些潜在的危险非常清楚和了解，且在此进一步确认，这些风险还包括由于以上(c)条中规定的人员和单位或其他人员或单位的疏忽或过失而引起的其他风险； (f) 我同意，由于我已经放弃了以上(c)条涉及的人员或单位的一切赔偿责任，我同意不对这些人员或单位提起任何诉讼； (g) 如果以上(c)条规定的人员或单位由于以下原因遭遇了任何赔偿请求或承担了任何责任，我将向他们做出赔偿，使之不受损失：(i) 我的作为或不作为的行为；(ii) 其他人的作为或不作为或疏忽；（iii）赛事举办地的设施、设备或区域的条件 (iv) 活动规则；或者(v) 和“彩色跑”有关的事件所引发的其他损害。 (h) 我已知悉并同意由赛事主办方（趣耶体育（北京）有限责任公司）为我在新华人寿保险股份有限公司上海分公司购买保险的相关事宜和相关权益，并认可身故保险金受益人为法定继承人； (i) 我授权活动主办方及指定媒体无偿使用本人的肖像、姓名、声音等用于彩色跑的宣传与推广； (j) 我明白并接受我的参赛费用自2024年9月6日18点起，在任何情况下都是不退的。我明白并接受，如果由于不可抗力原因或极端 天气条件造成彩色跑活动被取消、推迟或更改，我将自行负担因参加彩色跑活动所产生的任何费用， 包括但不限于：机票、住宿、用餐及地面交通等。 (k)本人明确了解参加本次比赛可能发生的一切风险，并同意自行承担参加本次比赛所可能存在的风险和责任；本人承诺自己的身体健康状况良好并已通过正规医疗机构进行体检，确认自己的身体状况能够适应于本次比赛。 我在此确认我已经年满十八（18）周岁。我已经仔细阅读此文件并明白其内容。 ______________________________________________ 姓名 ______________________________________________ 签署日期 我同意以上签字人领取我的参赛包。 ______________________________________________ 签名 对于未年满十八（18）周岁的参赛人员，其父母中的一位或一位法定监护人必须签署以上免责条款，并完成以下 内容： 以上签字的_________________________(父母/监护人)是__________________________ (未成年人的名字) 的父母或自然/法定监护人，并在此确认其已经代表该未成年人签署了前述的免责条款。作为该未成年人的自然或法 定监护人，我在此确认我自己、该未成年人和我们的执行人、管理人、继承人、直系亲属、受让人将受该免责条 款的法律约束。我声明，我享有法律上的权利代表此处命名的未成年人做出任何法律行为，并同意若由于我不具 有法律上充分的权利代表该未成年人签署免责条款和签署此同意函，而使免责条款内涉及的人员或单位承担赔偿 责任或其他责任，则我将向该等人员或单位做出全面赔偿，使之不受损害。 我在此授权任何有执照的医生、急救师、医院或其他医疗机构（“医疗提供者”）对该未成年人进行治疗，以试 图治疗或缓和未成年人由于参加“彩色跑”或相关引起的伤病。我授权该等医疗提供者采取一切医学上建议采用 的措施以试图治疗和缓和该等伤病。我同意在治疗过程中采用医学上建议的麻醉措施。我明白并理解在任何医疗过程中都有可能发生并发症或其他意想不到的后果，我在此代表我自己和该未成年人承担该等风险。我确认对于 医疗效果是没有任何保证的。 注意：父母/监护人必须签署以上同意函。. _____________________________________________ 父母/监护人姓名（打印字体） _____________________________________________ 父母/监护人签字 _____________________________________________ 与未成年人关系 ______________________________________________ 签署日期 注:一经报名视同默认上述免责声明。 Acknowledgment, Waiver and Disclaimer Please read this disclaimer carefully before signing. I confirm that the 5-kilometer The Color Run™ will challenge personal physical and mental fitness and may involve potential risks of death, injury, and property damage. I hereby expressly acknowledge that I will bear all possible risks involved in participating in The Color Run™. I certify that I am physically capable of participating in The Color Run™, have adequately trained to participate in The Color Run™, and that no qualified medical professionals have advised me to withdraw from The Color Run™. I hereby do the acts set forth below on behalf of myself, my executors, administrators, heirs, immediate family members, assigns, and any person who may bring a claim or action for indemnification on my behalf, and hereby expressly acknowledge that I voluntarily perform these acts: (a) I agree to abide by the event rules of The Color Run™; (b) I agree to inspect the track, facilities, equipment, and areas where the event will be staged before participating in it, and if I discover any unsafe conditions, I will notify the relevant personnel overseeing the event, facilities, equipment, and areas; (c) Death, personal injury, partial or permanent disability, property damage, medical or hospitalization expenses, theft or property damage of any kind arising out of or in connection with my participation in this event and my travel to and from the event, including In the event of economic losses and/or theft of items, etc., I will waive and exempt the following people and entities from all liability for compensation and other related responsibilities: event organizers, sponsors, race directors, staff, event owners, volunteers , the country, city or venue where the event or part of the event is held, and the officials, directors, employees, representatives, volunteers and agents of the above events; (d) I agree that if an emergency (such as injury or illness) requires medical emergency care, I hereby authorize medical personnel to assist me. I have the following disease history and drug allergies: ( ). If not, please fill in “NO”. (e) I acknowledge that there may be traffic on the course and I assume all risks of participating in this event and racing on the course. I will also assume all other risks associated with participating in this event, including but not limited to falls, contact and/or collision with other participants, consequences of weather including heat or humidity, defects in equipment, road and crossroads. I am fully aware and understand these potential hazards due to the condition of the intersection, water obstacles, complications and other hazards that may be posed by spectators or volunteers, and further confirm that these risks also include those arising from the negligence or fault of specified personnel and entities in clause (c) or other personnel or entities; (f) I agree that since I have waived all liability for damages against the persons or entities involved in clause (c) above, I agree not to initiate any lawsuits against these persons or entities; (g) I will indemnify and hold harmless the persons or entities specified in clause (c) above if they are subject to any claim for compensation or bear any liability due to: (i) my acts or omissions; (ii) the acts or omissions or negligence of others; (iii) the conditions of the facilities, equipment or venues where the event is held; (iv) the rules of the event; or (v) other damages associated with The Color Run™ (h) I authorize the event organizer and designated media to use my portrait, name, voice, etc. for the promotion of The Color Run™ free of charge; (i) I understand and accept that my entry fee is non-refundable after 6pm, September6, 2024. I understand and accept that if The Color Run™ event is canceled, postponed or changed due to force majeure or extreme weather conditions, I will bear any expenses incurred by participating in The Color Run™ event, including but not limited to: air tickets, accommodation, meals and ground transportation, etc. I hereby confirm that I am over eighteen (18) years of age. I have read this document carefully and understand its contents. ______________________________________________ Name ____________________________________________ Date Signed I give my consent for the undersigned to receive my participation kit. ______________________________________________ Signature For participants under the age of eighteen (18), one of their parents or a legal guardian must sign the above disclaimer and complete the following: The _________________________ (parent/guardian) signing above is the parent or natural/legal guardian of _______________________ (name of minor), and hereby confirms that he or she has signed the foregoing disclaimer on behalf of the minor. As the natural or legal guardian of the minor, I hereby confirm that myself, the minor and our executors, administrators, heirs, immediate relatives, and assigns will be legally bound by this exemption clause. I declare that I have the legal authority to act on behalf of the minor named herein and agree that if I do not have the legal authority to sign the document but still sign this document on behalf of the minor, If the persons or entities involved in the disclaimer are liable for compensation or other responsibilities, I will make full compensation to such persons or entities so that they will not be harmed. I hereby authorize any licensed physician, emergency physician, hospital or other medical facility ("Medical Provider") to treat the minor in an attempt to treat or alleviate any symptoms resulting from or related to the minor's participation in The Color Run™. I authorize such medical providers to take all medically recommended measures to attempt to treat and alleviate such injury or illness. I agree to the use of medically recommended anesthesia during treatment. I understand that complications or other unintended consequences may occur during any medical procedure, and I hereby assume such risks on behalf of myself and the minor. I acknowledge that there are no guarantees about medical results. Note: Parents/guardians must sign the above consent letter. . __________________________________________________ Parent/Guardian Name (Print Type) __________________________________________________ Parent/Guardian Signature __________________________________________________ Relationship to Minor __________________________________________________ Date Signed Note: Once you register, you will be deemed to agree to the above disclaimer.