RELEASE OF LIABILITY 
 
READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS 
In exchange for participation in the Delaware Mud Run, Jr. taking place on June 6, 2019 at 309 Port Penn Road, Middletown, DE 19709 and organized by the Leukemia Research Foundation of Delaware("LRFDE"), of 203 Bohemia Mill Pond Drive, Middletown, Delaware, 19709, I agree for myself and (if applicable ) for the members of my family, to the following:  
1.	I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by "LRFDE", or the employees, representatives or agents of "LRFDE".  
2.	I recognize that there are certain inherent risks associated with the Delaware Mud Run, Jr. and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge the Leukemia Research Foundation of Delaware, Frightland, Parkway Gravel, Inc, Greggo and Ferrara, Inc, R&N Lending, Inc, any sponsors of this event and those organizations contributing to this race to include their affiliates, agents, employees, officers, directors, their representatives and successors for any acts of negligence on the part of the parties to be indemnified, their employees and agents for injury, loss or damage arising out of my or my family's use of or presence upon the facilities at 309 Port Penn Road, Middletown, DE 19709 whether caused by the fault of myself, my family, or in part by "LRFDE" or other third parties.  
3.	I agree to indemnify and defend the Leukemia Research Foundation of Delaware, Frightland, Parkway Gravel, Inc, Greggo and Ferrara, Inc, R&N Lending, Inc, any sponsors of this event and those organizations contributing to this race to include their affiliates, agents, employees, officers, directors, their representatives and successors against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities located at 309 Port Penn Rd Middletown, DE 19709.  
4.	I agree to pay for all damages to the facilities located at 309 Port Penn Road, Middletown, DE 19709 caused by my or my family's negligent, reckless, or willful actions. 
5.	I consent to the participation of my _________________, _________________ of _________________, _________________, _________________, _________________ in the Delaware Mud Run, Jr., and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of _________________. 
6.	In the event of an injury to the above minor during the above described activities, I give my permission to "LRFDE" or to the employees, representatives or agents of 

"LRFDE" to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on June 6, 2019 and will remain in effect until terminated in writing by the undersigned or June 8, 2018, whichever occurs first. "LRFDE" shall have the following powers:  
a.The power to seek appropriate medical treatment or attention on behalf of my child as 
may be required by the circumstances, including without limitation, that of a licensed 
medical physician and/or a hospital; 
b.The power to authorize medical treatment or medical procedures in an emergency situation; and 
c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 
7. Any legal or equitable claim that may arise from participation in the above shall be resolved under Delaware law. 
I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS. 
Dated: _________________ 
Signature:_______________________________________ 
Name: _________________ 
Address: _________________ _________________, _________________ _________________ 
In case of an emergency, please call _________________ (Relationship: _________________ ) at _________________ Ext. _________________ (Day), or _________________ Ext. _________________ (Evening).