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ACCIDENT
WAIVER & RELEASE OF LIABILITY
I acknowledge that this athletic event is an extreme test of a person’s
physical and mental limits and carries with it the potential for
death, serious injury, and property loss. The risks include, but
are not limited to, those caused by terrain, facilities, temperature,
weather, condition of athletes, equipment, vehicular traffic, actions
of other people including, but not limited to, participants, volunteers,
spectators, coaches, event officials, and event monitors, and/or
producers of the event and lack of hydration. These risks are not
only inherent to athletes, but are also present for volunteers.
I hereby assume all of the risks of participating and/or volunteering
in this event. I realize that liability may arise from negligence
or carelessness on the part of the persons or entities being released,
from dangerous or defective equipment or property owned, maintained
or controlled by them or because of their possible liability without
fault. I certify that I am physically fit, have sufficiently trained
for participation in the event and have not been advised otherwise
by a qualified medical person. I acknowledge that this Accident
Waiver and Release of Liability form will be used by the event holders,
sponsors, and organizers of the event in which I may participate,
and that it will govern my actions and responsibilities at said
events. In consideration of my application and permitting me to
participate in this event, I hereby take action for myself, my executors,
administrators, heirs, next to kin, successors, and assigns as follows:
(A) Waive, Release, and Discharge from any and all liability for
my death, disability, personal injury, property damage, property
theft or actions of any kind which may hereby occur to me including
my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSON:
Go Tri Sports Productions, Inc. Their directors, officers, employees,
volunteers, representatives, and agents, the event holders, event
sponsors, event volunteers; (B) Indemnify and Hold Harmless the
entities or persons mentioned in this paragraph from any and all
liabilities and claims made as a result of participation in this
event, whether caused by negligence of releases or otherwise. I
hereby consent to receive medical treatment which may be deemed
advisable in the event of injury, accident and/or illness during
this event. I understand that at this event or related activities,
I may be photographed. I agree to allow my photo, video or film
likeness to be used for any legitimate purpose by the event holders,
producers, sponsors, organizers and assigns. The Accident Waiver
and Release of Liability shall be construed broadly to provide and
release and waiver to the maximum extent permissible under applicable
law. I hereby certify that I have read this document; and, I understand
its content.
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Participant's Name & Age
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Signature
(if under 18 yrs., parent or Guardian must also sign below)
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Date
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PARENT
/ GUARDIAN WAIVER FOR MINORS (Under 18 yrs. Old)
The undersigned
parent and guardian does hereby represent that he/she is, in fact,
acting in such capacity and agrees to dave and hold harmless and
idemnify each and all the parties referred to above from all liability,
loss, cost, claim or damage whatsoever may be imposed upon said
parties because of any defect in or lack of such capacity to so
act and release said parties on behalf of the minor and the parent
or legal guardian.
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Participant's Name & Age |
Siganture
of Parent or Guardian |
Date |
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