Name* First Last I, the undersigned as a condition of participating in this event, do hereby for myself, my heirs, executors, and administrators, indemnify and hold harmless the Eastern Sierra Cancer Alliance, the City of Bishop, the City of Los Angeles, the Los Angeles Department of Water and Power, the Board of Water and Power Commissioners of the City of Los Angeles, Northern Inyo Healthcare District, and any subsidiaries and related entities, such as its officers, directors, sponsors, employees, lessees, or any agencies or individuals associated with this event for any and all injuries sustained by me in the course of this event. I hereby waive any and all rights of claim for damages I may have against the foregoing, their officers, directors, sponsors, or any agencies or individuals associated with this event for any and all injuries sustained by me in the course of this event. I understand that children age 12 and under registered to participate must be accompanied by a parent or guardian and may not be left unattended by that parent or guardian. If I choose to bring a dog on the walk or run, I will keep the dog on leash and under control at all times and I will be responsible for all of its actions, financially and otherwise. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, verbal or written statements, or any other record of this event for any legitimate purpose without my consent. I am of legal age, have read this release, fully understand it ,and freely agree to all of its terms.Signature*EVERY participant must sign! Participants under age 18 must have a parent/guardian signature.Date of Signature* MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.