WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I know that participating in an organized athletic
event is potentially hazardous, and that I should not enter to participate
unless I am medically able and properly trained. I HEREBY ASSUME THE
RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically
fit and that I have sufficiently trained. I agree to abide by the competitive
rules. I hereby take the following action for myself, my executors,
administrators, heirs, next to kin, successors and assigns, or anyone
else who might claim or sue on my behalf, and I hereby waive, release
and discharge from any and all claims, losses, or liabilities for death,
personal injury, partial or permanent disability, property damage, medical
or hospital bills, or theft which may arise out of or relate to my participation
in this event. I agree not to sue, and to hold harmless any and all
persons, sponsors, volunteers, participants or government agencies for
any and all claims or liabilities that I have waived, released or discharges
herein. I also agree to return the ChampionChip timing devise assigned
to me or to pay a $30 replacement fee. I understand that the Entry Fees
are Non-Refundable/Non-Transferable.
Type Full Name
Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age
of 18)
Date________________________________________