As part of the consideration for my child’s participation in the Without Limits Charleston youth running program, I hereby release, hold harmless, and forever discharge Hannah Moldenhauer, all assisting coaches, and the owner of any fields or facilities used from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, property damage, or personal injury, that may be sustained by me or my child or to any property belonging to me or my child while my child is participating in the program.

I acknowledge that my child’s participation in this program is elected by me and not required. I voluntarily assume full responsibility for any risk of loss, damage, or personal injury, including death, and for any property damage that may be sustained by me or my child as a result of my child’s participation in this program.

In the event of illness or injury, I hereby authorize the Without Limits Charleston Coaches, Staff, or Leaders to obtain emergency medical treatment through local emergency medical services or at a local hospital as deemed necessary, including the administration of an anesthetic or other medication and surgery, and I hereby assume the cost of such treatment. I understand that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of Without Limits Charleston Coaches and Leaders, to give specific consent to the diagnosis, treatment, or hospital care which in the best judgement of a licensed physician is deemed advisable.

I have read and I understand this document, including the release and hold harmless portions of it. I understand and agree that it is binding on myself, my child, our heirs, and personal representatives. I also acknowledge that I am the parent or legal guardian of the child.