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RELEASE FORM FOR 5K FUNDRAISER WALK VALENT

READ THIS DOCUMENT COMPLETELY BEFORE COMPLETING AND SIGNING.  ITS EFFECT IS TO RELEASE THE OWNER (DEFINED BELOW) FROM ANY LIABILITY RESULTING FROM YOUR PARTICIPATION IN THE ACTIVITY DESCRIBED BELOW, AND TO WAIVE ALL CLAIMS FOR DAMAGES OR LOSSES AGAINST THE OWNER WHICH MAY ARISE FROM SUCH ACTIVITY EVEN IF THEY RESULT FROM NEGLIGENCE. 

Event: Valent 5K Fundraiser Walk (the “5K Walk”) at Innovation Park Lake County in  Libertyville, IL
Date:  Thursday, September 14, 2023

Participant’s full name(Required)

In this Release form, the term “Owner” shall refer to any and all of the following:  BRIT-Libertyville LLC, BECO Management, Inc., and/or their respective members, partners, shareholders, officers, directors, employees, affiliate, representatives and agents.

I, the undersigned, desire to participate in the event referenced above.  I am 18 years old or older.  I understand that such activity is a hazardous activity which involves a risk of serious bodily injury, or death, as a result of accidents or other causes.  I HEREBY FREELY ASSUME ALL SUCH RISKS, both known and unknown, except those arising from the gross negligence or intentional acts of Owner or others, and assume full responsibility for my participation.

Further I hereby RELEASE, INDEMNIFY, AND HOLD HARMLESS Owner from and against any and all losses, costs, claims, demands, causes of action, injury, damage and liability whatsoever, whether presently known or unknown, with respect to injury, disability, death or other harm, to person or property or both, as a result of my participation in the activity referenced above, whether arising from the negligence of Owner or otherwise, to the fullest extent permitted by law.

This document constitutes the final and entire agreement between the Owner and the undersigned.  The Owner provides no warranties express or implied.  This Release shall be governed by and construed in accordance with the laws of the State of Illinois, without regard to the conflict of laws principles thereof.  In any action to enforce this Release, the undersigned consents to personal and subject matter jurisdiction in the state or federal courts having jurisdiction in the county and state in which the Property is located.  If any provision of this Release shall to any extent be held invalid or unenforceable, the remainder of this Release shall not be affected thereby and accordingly this Release shall be valid and enforceable to the fullest extent permitted by law.  This Release shall be binding upon, and inure to the benefit of, the parties hereto and their respective personal and legal representatives, heirs, executors, administrators, successors and assigns.

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