Malcolm Madison Foundation - Health and Wellness 5k Run/Walk & Bike Stroll

8200 Outer Drive West,Detroit MI 48219

16 July, 2022

Description

5 Mile Bike Slow Stroll at 8:15 am, $65.00, and a 5K Run (1st 3 Places Receive Trophy) at 8:35 am, $35.00, or a 5K Walk at 9:00 am, $35.00. Upon acceptance of my entry, I, for myself, my heirs and assigns, hereby release Malcolm Madison Foundation, WCCCD-NW Campus, the event organizers, and all sponsors and officials of the Malcolm Madison Foundation “Don’t Hesitate” Take the Shot!” Health and Wellness Health Educational Fair “5K Walk/Run and 5 Mile Bike Slow Stroll” from any and all liability arising from illness, injury or death I may suffer as a result of my participation in this event. I attest that I am physically fit and have sufficiently trained for this event and am aware that my participation could, in some circumstances, result in physical injury. Should officials determine that completion of this event would be injurious to my health, I consent to be removed and treated by the medical personnel in attendance or their direction. I give permission for free use of my name and picture in any broadcast, telecast or written account of this event. I also understand that my fee and any additional donations are nonrefundable. We ask that if you would like to attend the Health and Wellness Health Educational Fair, please also fill out a Health Screening Form via the link below: https://docs.google.com/forms/d/e/1FAIpQLSeof2H1kM8i7zyNj0uhe8nv-qTT-fDwH4cvhoF7SUl32mZ8sg/viewform (Please cut and paste the link to your browser) All Information Is Confidential. The following information is required for health screening purposes only. Should you need a more extensive medical checkup, please ask the physician(s) examining you and you will be directed accordingly.