Waiver, Release and Indemnification Form
The following Waiver must be signed and submitted with the entry. Click here to download a printable version.
IN CONSIDERATION of USA Triathlon (“USAT”) allowing the below named PARTICIPANT to participate in any USAT sanctioned event (the “Event” or “Events”) as either a member of USAT or through the issuance of a single event license or permit; I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the “Agreement”);
I do hereby release USAT, Pro One Fitness, LLC., Inspire Kids to Tri, the City of Cedar Park, Elizabeth Milburn Park, the event directors, Law Enforcement Agencies and other Public Entities providing support for the event, all sponsors, all promoters, all race coordinators, volunteers, and all persons or entities associated with this event of all liability related to injuries or accidents which may occur as a result of participation in the INSPIRE KIDS TO TRI TRIATHLON.
I hereby agree to comply with all the rules and regulations and event instructions of the INSPIRE KIDS TO TRI TRIATHLON and its coordinators.
I hereby represent that the PARTICIPANT is physically capable of participating in the event, that the PARTICIPANT’s bicycle and other equipment used to participate in the event are in working condition and that the PARTICIPANT will use a helmet and conduct themselves in a safe and prudent manner while participating in the event.
I hereby acknowledge that there are always certain risks associated with any physical activity. I understand the risks and declare the PARTICIPANT listed below to be physically sound and capable to participate in the INSPIRE KIDS TO TRI TRIATHLON.
I hereby consent to receive or for the PARTICPANT to receive medical treatment which may be deemed advisable in the event of injury, accident or illness during the INSPIRE KIDS TO TRI TRIATHLON event. No warranty as to the quality of medical care is be made.
I hereby acknowledge that I have sole responsibility for the PARTICIPANT’S personal possessions and athletic equipment during the INSPIRE KIDS TO TRI TRIATHLON event, and its related activities.
I hereby permit and authorize the free use and publishing of my or the PARTICIPANT’S name, image and picture in websites, broadcasts, telecasts and the press as they pertain to the INSPIRE KIDS TO TRI TRIATHLON event.
I hereby absolve and hold harmless all and any parties or entities associated with INSPIRE KIDS TO TRI TRIATHLON from any damage I or the PARTICIPANT may sustain because of any breach of these representations.