|
This waiver form must be agreed to or your entry will NOT be accepted.
If the Entrant is not 18 years of age, a parent/guardian must agree to this waiver form.
The below parent/guardian consents to the entrant’s participation in the event and acknowledges that he/she is bound by the waiver form to the same extent as the entrant. In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the The Mudpuppy Twilight Trail Run to be held on September 9, 2010, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVER, AND FOREVER DISCHARGE, The City of Kitchener, The Region of Waterloo, Kitchener Grand River Rotary, Rotary InternationalOnline Registrations and all other associations, sanctioning bodies and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, successors, and assigns OF ALL AND FROM ALL claims, demands, damages, costs, expenses, actions, and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as spectator, participant, or otherwise; whether prior to, during or subsequent to the event AND NOTWITHSTANDING that same may have been contributed to or occasioned the negligence of any of the aforesaid.
ATTESTATION - I attest and verify that I am fully aware of the physical risk of injury or death in participating in this event and voluntarily agree to accept full responsibility and legal liability for same, that I am fit and have trained sufficiently for this event. I am also aware that the weather conditions on Thursday September 9, 2010 may be unpredictable thus posing an increased physical risk. By submitting this entry, I acknowledge having read and agreed to the below waiver, release, indemnification and attestation.
I ATTEST AND VERIFY THAT I AM 18
YEARS OF AGE OR THAT I AM SIGNING AS THE LEGAL GUARDIAN
ON BEHALF OF AN EVENT PARTICIPANT UNDER THE AGE
OF 18 YEARS.
Agreeing to this waiver and registering online for this race by me, for myself or as legal guardian of an event participant, in an electronic format authorizes you to accept this waiver as signed by me.
I have read and agree to the waiver.
Parents name if under 18 years of age
|