JBU 2023 Indemnity Form

JANDA BAIK ULTRA 2023
Acknowledgement, Release and Indemnity
This is an important document which affects your legal rights and obligations. Please read it carefully. All competitors must sign this form.
(If you are under 18 years a parent/guardian must also sign this form)
1. In consideration of Lumen Sports Sdn. Bhd. (the “Event Organizers”) accepting my participation to Janda Baik Ultra 2023 run to
be held on 17 – 18 June 2023 (the “Event”) I agree to this release of claims, waiver of liability and assumption of risk.
2. I have read and understood the Competitor Briefing document and information relating to the Event.
3. I understand the demanding physical nature of the Event. I declare, as a condition of entry to the Event, that I have sufficiently
trained for this Event and that I am not aware of any illness, injury or any other physical disability which may cause me injury or
death whilst participating in the Event.
4. In the event that I become aware of any medical condition or impairment or am otherwise sick or injured prior to or during the
Event, I will withdraw from the Event.
5. I acknowledge that participating in the Event is a dangerous activity and that by such participation I am exposed to certain risks.
I acknowledge that the enjoyment of running is derived in part from the inherent risks and exertion beyond the accepted safety
of life at home or at work and that these inherent risks contribute to such enjoyment and is a reason for my participation in the
Event.
6. I acknowledge and understand that whilst participating in the Event:

● I may be injured, physically or mentally, or may die from various causes including, but not limited to, over exertion, dehydration,
cardiac arrest, slips, trips or falls, accidents with other participants, spectators and road users, or accidents caused by my own
actions.
● My personal property may be lost or damaged.
● I may cause injury to other persons or damage their property.
● The conditions in which the Event is conducted may vary without warning.
● I may be in a remote or isolated location where access to medical support may be limited and take significant time to reach me.
● There may be no or inadequate facilities for treatment or transport of me if I am injured.
● I assume the risk and responsibility for any injury, death or property damage resulting from me participation in the Event
7. I agree that if I am injured or require medical assistance, the Event Organizers can, at my cost, arrange medical treatment
and emergency evacuation as deemed necessary by the Event Organizers. I agree that I am responsible for my own medical
and ambulance insurance cover.
8. I agree to release, indemnify and hold harmless the Event Organizers, its officers, employees, agents, volunteers,
contractors, public bodies, landholders and sponsors, from and against any and all claims, demands, right or cause of
action, suits, expenses, costs and proceedings of any nature whatsoever which may be made by me or on my behalf or by
other parties for or in respect of or arising out of any injury, loss, damage or death caused to me or my property as a result
of my entry or participation in the Event whether by negligence, breach of contract or in any way whatsoever.
9. I also agree that in the event I am injured or my property is damaged I will bring no claim, legal or otherwise, against the
Event Organizers in respect to that injury or damage.
10. I agree to Lumen Sports Sdn. Bhd. entering my personal details in the entry form into a database which will be used for the
administration of the Event and which may be used for future marketing and promotion of Lumen Sports Sdn. Bhd.
11. I agree to allow my name, results, photographs, videos, multimedia or film likeness to be used for any legitimate purpose
by Lumen Sports Sdn. Bhd., the sponsors, or assigns without payment or compensation.
12. I acknowledge that my image may be taken by an Event photographer and that Event photographer may contact me to
offer for sale images of me at the Event.
13. I agree to abide by the Event rules and the directions of all Event officials.
14. I acknowledge that the Event Organizer may change the advertised course without notice if the Event Organizers deem this
necessary. I also acknowledge that the Event Organizer may cancel the Event due to weather conditions, safety
considerations, and that in such circumstances my entry fee will be non-refundable.
NAME: ____________________________________________________ DATE: ____________________
NRIC / PASSPORT NO.: _______________________________________ SIGNATURE: ______________________

JBU 2023 Indemnity Form

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JANDA BAIK ULTRA 2023

Acknowledgement, Release and Indemnity

6. I acknowledge and understand that whilst participating in the Event:

● I may cause injury to other persons or damage their property.

● There may be no or inadequate facilities for treatment or transport of me if I am injured.

NRIC / PASSPORT NO.: _________________ SIGNATURE:

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