Waiver: By completing the form below and registering for the Walk for the Health of It event, I hereby release and discharge in advance Lodi Memorial Hospital. Lodi Memorial Hospital Foundation, the City of Lodi, all agencies whose property and personnel are used, all sponsoring or co-sponsoring entities or individuals from responsibility for any injuries or damage I may suffer as a result of my participation in the "Walk for the Health of It." I hereby certify that I am able to safely participate in this event. I will additionally permit the use of my name and pictures in broadcasts, telecasts, newspapers, and brochures, etc… and I also understand that the entry fee is non-refundable. As a participant I certify that all information provided in this form is true and complete. I have read the entry information and certify my compliance by clicking register at the bottom of this page. All applicants must agree to this waiver (Parent/Guardian if under 18).