Waiver & Release of Liability

In consideration of the acceptance of my registration request and/or participation in the Divas For A Cure Cross Country Breast Cancer Run - Summer 2006, operated and/or under the management of Divas For A Cure "DFAC", the sponsors, and/or contract entities, I hereby release all liability from said parties and I assume all liability for any and all claims and actions of any kind for personal injuries, bodily injury, death and/or property damage which I may cause or sustain during the event or during my travel to and from the event, and I agree to pay any and all costs including attorney's fees that may be incurred by the above entities as a result of any such claim. I also agree that any legal claim, can only take action in Oakland, California.

I hereby consent to receive medical treatment which may be deemed necessary in the event of an accident or medical emergency during this event and understand that I am solely responsible for all cost related to medical treatement, medical transportation and/or evacuation.

I hereby agree that if the event is canceled due to storm, rain, inclement seas or weather, wind or other "Act of God" conditions, my entry fee shall be nonrefundable. I understand that all entry fees are nonrefundable. I also understand that my entry is nontransferable.

I attest and verify that my vehicle is in good working order, and I am in good health and adequately trained and licensed to participate in this type of event. I hereby acknowledge that I have sole responsibility for my personal possessions and equipment during the event or its related activities. I hereby grant to any and all of the foregoing the use of any photograph, videotape, motion picture or any other record of this event for any purposes whatsoever including broadcasts, telecasts, internet and the press as they pertain to the event.

I FURTHER FULLY UNDERSTAND THAT THERE IS NO RIDER INSURANCE PROVIDED FOR THIS EVENT, DRIVERS/RIDERS MUST CARRY THEIR OWN ACCIDENT INSURANCE.

I have read and fully understand and agree to this release, waiver and indemnification form.

Print Name: __________________________________________

Address: _____________________________________________

City: ____________________ State: ________ Zip: _________

Phone Number: (_______) _______________________

Signature:_____________________________ Date:________________________

Driver's License #:_______________________________ State: ______________