Waiver and Release of Liability Agreement 

In exchange for being allowed to participate in the Bellin Run (held on June 13, 2026) or the Virtual Bellin Run (held in June 2026) (the “Bellin Run”), including participation as a runner, coach and/or volunteer, and all related activities, regardless of whether the activities occur before, during, or after the Bellin Run (“Activities”), I agree to the following:

I represent that I am in good health and that I do not suffer from any physical condition that would prevent me from safely participating in the Activities.

I understand and fully assume all risks and responsibilities for injuries, losses, costs, and damages I incur as a result of my participation in the Activities.

I, for myself; my spouse and my minor children (if any); my personal representatives; assigns; heirs; and next of kin, HEREBY RELEASE, WAIVE, and DISCHARGE (1) Bellin Health Systems, Inc. and all of its subsidiaries and affiliates that are under common control; controlling; or controlled by Bellin and their officers, directors, employees, contractors, agents, volunteers and anyone acting at the request of Bellin with respect to the Bellin Run (“Bellin”); (2) the City of Green Bay, Wisconsin; (3) the Village of Allouez, Wisconsin; (4) the County of Brown, Wisconsin; (5) USATF, its members, clubs, associations, sport disciplines and divisions; United States Olympic Committee (USOC); and (6) any and all agents, volunteers, operators, owners, contractors and lessees of the facilities used to conduct the Bellin Run (collectively, the “Released Parties”), from any and all claims, liability, losses, demands, or damages that I suffer, which arise out of or in the course of my participation in the Activities, that are caused, in whole or in part, by the negligence of the Released Parties.  I understand that this Agreement does not apply to injuries caused by the Released Parties’ reckless or intentional conduct.

I ACKNOWLEDGE that the Released Parties do not carry or maintain health, medical, or disability insurance coverage for me to participate in the Activities, and that I am expected and encouraged to have medical or health insurance coverage in effect at the time of my participation.

I HAVE READ, or have had read to me, the above waiver and release of liability Agreement.  I understand and VOLUNTARILY ACCEPT its terms.  i understand that I have given up substantial rights by signing this waiver and release of liability agreement.  I further HEREBY WAIVE THE RIGHT I HAVE TO BARGAIN FOR DIFFERENT WAIVER OF LIABILITY TERMS.

Right to Treat: As a participant in the Bellin Run, I understand I may become ill or injured and medical treatment may be necessary. I give consent to Bellin Health medical staff and/or volunteers to evaluate, treat injuries/illnesses, and activate emergency care as indicated.

Photograph/Videotape Authorization: I hereby give Bellin Memorial Hospital, Inc., its affiliates and FinisherPix, permission to photograph or videotape me during the run and its related activities, and to use those photographs or videos for any purpose, including but not limited to commercial purposes, Bellin Health advertisements and promotional materials.

Eligibility Certification: I certify that in accordance with the rules of USATF and IAAF governing amateur status, I am eligible to compete in this event. (No ineligible runners will be allowed to compete.)

Acknowledgement Statement

I acknowledge and agree that I am about to provide certain individually identifiable information to RunSignup.  I intend to provide this information to RunSignup for the purpose of registering for the Bellin Run (“Event”) and other related purposes.  

I understand that this Event is being sponsored by Bellin Memorial Hospital, Inc. (“Bellin”).    Therefore, I also understand that Bellin will be receiving individually identifiable information about me directly from RunSignup.

By checking the box below, I hereby affirm the following:

I do not intend to provide individually identifiable information to RunSignup and Bellin in connection with any health care services or payment for health care that I have received, am receiving, or will receive from Bellin; and
I am not seeking any health care services or benefits from Bellin as part of my registration in the Event; and
If I am providing individually identifiable information for a person other than myself (such as my minor child), then it is my desire that the statements above apply to this person’s information in the same manner it applies to my own information.