2014 RUFF-N-TOUGH 5K Entry Form & Waiver

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ROUGH.N-TUFT' ENDI]RANCE RACE WAIYER ASSUMPTIONAND WARNING OF RISK INDEMNIFICATION AND WAIVER AND RELEASE OF LI.ABILITY *PLEASE READ CAREFULLY* THIS IS A LEGAL DOCUMENT WHICH AIFECTS YOUR LEGAL RIGHTS In consideration of being perrniued to participate in the ROUGH-N-TUFF ENDURANCE RACE (thc l&aSe') 9g$ r{ 5, ?Ql_{, I state qq4 agrqe as follows on behalf of myself and my personal representatives, next ofkin, heirs, executors, administrators, agents, and assigns, or anyone else who might claim or sue on my behalf ASSUMPTIONAND WARNING OF RISK 1. I acknowledge that the event is a hazardous activity and is an extreme test of a person's physical and mental limits and carry with it the potential of death, serious injury and property loss; 2. I understand that the Race presents extreme obstacles iasluding, but not limited to: rocks, mud pits, water, tire flip, tire run, log carry, wall climb, tunnel crawl, hay bale ciimb, mud run, ice tubs, swimmisg, fire, gladiators, crawling under barbed wire, slip-n-slide, and steep hills. 3. I acknowledge certain detrimental physiological changes may occur while i participate in the event, including but not limited to, heat related illness; abnormal heart beat; abnormal blood presslre; and, in rare instances, heart attack; 4. I acknowledge that there may be motor vehicle fraffic, spectators, volunteers and other competitors on the evetrt course; 5. I further wanant and rq)resetrt that I am not now pregnant. I understand that I am prohibited from participating in the Race if I am prepant. 6. I agree that it is my responsibility to determine whether I am sufficiently fit, healthy, skilled and physically tained to safely participate in the Race. I hereby represent that I am in good health and in proper physical condition to safely participate in the Race. I certiff that I have no lnown or knowable physical or mental conditions that would a{fect my ability to safely participate in the Race, or that would result in my participation creating a risk of danger to myself or to others. I further certify that I have not been advised or cautioned otherwise by a medical practitioner. I understand that am strongly advised to consult a medical practitioner before participating, especially if I am disabled, or have recently suffered any illness, injury, or impairment. I attest that I am covered by medical insurance, individually or as part of an organization. 1 .l agree not to participate in the Race unless I am medically able. , 8. I agree not to consume alcohol or drugs prior to or during the Race or ingest auy medicines or substances that will hhibit my mental or physical ability to safely and effectively participate in the Race. I assume full responsibility for any injury or loss to myself or to otlers and for any damage to any personal or real properly associated with my use or consumption ofalcohol and/or drugs at any point prior to or during the Race. I hereby indemnifi and agree to hold harmless the Released Parties (as defined below) from any injury, loss, or damage described in this section. 9. I agree to obey all civil and criminal laws at all times. 10. I voluntarily, expressly, and knowingly assume all of the risks of participating in the Race. I acknowledge and understand that these risks include, but are not limited to: falls; illness; infection; contact or collision with spectators, Race personnel, other participants, or pedestrians; negligent or wanton acts of other participants; contact or collision with motor vehicles or machinery; contact and the effects of contact with man-made and natural fixed objects; tenain, road and surface hazards; any defects or conditions ofthe Race course; and the effects ofweather Page I of 4

Transcript of 2014 RUFF-N-TOUGH 5K Entry Form & Waiver

Page 1: 2014 RUFF-N-TOUGH 5K Entry Form & Waiver

 

ROUGH.N-TUFT'

ENDI]RANCE

RACE

WAIYER

ASSUMPTIONAND WARNING OF

RISK

INDEMNIFICATION

AND WAIVER AND

RELEASE OF

LI.ABILITY

*PLEASE

READ CAREFULLY*

THIS IS A LEGAL

DOCUMENT

WHICH AIFECTS

YOUR

LEGAL

RIGHTS

In consideration of being

perrniued

to

participate

in the

ROUGH-N-TUFF ENDURANCE

RACE

(thc

l&aSe')

9g$ r{

5,

?Ql_{,

I

state

qq4

agrqe

as

follows on behalf

of myself

and

my

personal

representatives,

next

ofkin,

heirs,

executors,

administrators, agents, and assigns, or anyone else

who might

claim

or sue on

my behalf

ASSUMPTIONAND WARNING OF

RISK

1. I acknowledge

that the event is

a

hazardous activity and is an extreme test of

a

person's

physical

and mental

limits

and carry

with it

the

potential

of death,

serious injury and

property

loss;

2. I understand that the Race

presents

extreme

obstacles iasluding, but not limited

to:

rocks, mud

pits,

water,

tire

flip,

tire run, log carry,

wall climb, tunnel crawl, hay bale ciimb, mud run, ice

tubs, swimmisg, fire,

gladiators,

crawling under barbed wire, slip-n-slide, and steep hills.

3.

I

acknowledge certain

detrimental

physiological

changes may occur while i

participate

in the

event, including but not

limited to, heat related illness; abnormal

heart

beat; abnormal

blood

presslre;

and, in rare instances,

heart attack;

4.

I

acknowledge that

there

may

be motor

vehicle fraffic, spectators,

volunteers

and other

competitors on

the

evetrt

course;

5. I further wanant and rq)resetrt

that I am not now

pregnant.

I understand that

I

am

prohibited

from

participating

in

the Race

if I am

prepant.

6. I agree

that

it

is my responsibility

to

determine

whether

I

am sufficiently fit,

healthy,

skilled

and

physically

tained

to

safely

participate

in

the

Race. I hereby

represent that I am in

good

health

and in

proper physical

condition

to safely

participate

in

the Race.

I certiff

that I have

no lnown

or knowable

physical

or

mental conditions

that would a{fect my

ability to

safely

participate

in the

Race,

or that would result

in my

participation

creating

a

risk of

danger to myself or

to

others. I

further certify

that I have

not

been advised

or

cautioned otherwise by

a

medical

practitioner.

I

understand

that

am strongly

advised to consult

a

medical

practitioner

before

participating,

especially

if I am disabled, or

have

recently suffered

any illness,

injury,

or impairment.

I

attest

that

I

am covered by

medical

insurance, individually or

as

part

of

an

organization.

1 .l agree

not

to

participate

in the Race

unless

I am medically

able.

,

8.

I

agree

not to consume

alcohol

or

drugs

prior

to or during

the Race or ingest auy medicines or

substances

that

will hhibit

my mental

or

physical

ability to

safely

and effectively

participate

in

the

Race.

I

assume

full

responsibility for any injury or

loss to myself or

to

otlers

and for any

damage

to any

personal

or

real

properly

associated

with

my

use or consumption ofalcohol

and/or

drugs

at any

point prior

to or during the Race. I hereby

indemnifi

and agree to hold harmless

the

Released

Parties

(as

defined below) from any injury, loss,

or

damage described in

this

section.

9.

I

agree to obey all civil

and criminal laws at all times.

10. I voluntarily,

expressly, and knowingly assume

all

of

the risks of

participating

in

the

Race. I

acknowledge

and understand

that

these risks include, but

are not limited to: falls; illness;

infection;

contact

or

collision with spectators, Race

personnel,

other

participants,

or

pedestrians;

negligent or

wanton acts of other

participants;

contact or collision

with motor vehicles or

machinery;

contact and the effects of contact with man-made and

natural

fixed

objects; tenain,

road

and

surface

hazards;

any defects

or

conditions ofthe Race course; and the effects ofweather

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