Sunday Clinics

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Rules of the Road

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Name *

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Sex

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Age *

Birth Date

Optional, but appreciated. Used strictly for research.

Emergency Contact Name *

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Emergency Contact Relationship

Your Doctor's Name *

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Do You Have A History Of Smoking?

Are You Renewing Your Membership To The Marathon Clinic? *

If yes, how many years have you been a part of the Marathon Clinic?

Email *

NB: If you have been extremely sedentary, have any form of heart condition, awareness or develop symptoms such as palpitations or chest pain, a history of cigarette smoking hypertension or diabetes, you should get clearance from your attending physician, particularly a treadmill stress test. Depending on the results, generally once cleared, you are good to go. If on the other hand you choose to remain sedentary, we recommend you see your physician more frequently. *

I have carefully read the Waiver of Liability (below), understand and agree to it in it's entirety.

In consideration of your accepting this form. I, the submitter, intending to be legally bound, hereby, for myself, my family, my heirs, executors and administrators, forever waive, release and discharge any and all rights and claims for damages and causes of suit or action, known or unknown, that I may have against the Hawaii Sports Foundation, Honolulu Marathon Clinic, or ASPAC, its officers, directors, employees, agents and representatives, successors, volunteers, and assigns, for any and all injuries suffered by me.

I attest that I am physically fit, am aware of the dangers and precautions that must be taken when running in warm conditions and have sufficiently trained. I also agree to abide by any decision of an appointed medical official relative to my ability to safely continue or complete the event. I further assume and will pay my own medical and emergency expenses in the event of an accident, illness, or other incapacity regardless of whether I have authorized such expense.

Further, I hereby grant full permission to the Honolulu Marathon Clinic and/or agents hereby authorized by them, to use any name(s), photographs, videotapes, motion pictures, recording or any other record of these training sessions for any legitimate purpose at any time.

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Sunday Clinics

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