In consideration of acceptance of this entry into the 3rd Annual Veterans Day 5K Walk/Run, I, the undersigned, intending to be legally bound, do hereby, waive and release any and all rights and claims for damages I may have against the Department of Veterans Affairs [VA], Connecticut Healthcare System, the race officials and volunteers, for any and all injuries suffered by me in said event.  I assume all risks with entering this event, including but not limited to fall, contact with other participants, effect of weather, including heat, cold and road conditions.  All such risks being known and appreciated by me, I verify that I am physically fit and sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical provider within the last six (6) months. Furthermore, I hereby agree to indemnify and hold the VA harmless from any liabilities, claims, actions, damages, costs or expenses related to my participation in 5K Walk/Run for Fun. 

If I am an employee of the VA, I acknowledge and agree that participation in the 5K Walk/Run For Fun is not required by nor related to the requirements of my employment and my participation will be during off-duty time. Additionally, I hereby grant permission, without compensation, to the VA to use photographs, videotapes, motion pictures, and recordings of me, as well as any other record of my participation in this event, for any legitimate purpose. This may include publication on the Internet, VA newsletters and other VA publications