Inc. Entry, Accident Waiver and
Release of Liability 2018
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,
lack of hydration,
temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including but not limited to participants, volunteers, spectators,
event monitors, and/or producers of the event. These risks are not only inherent
to athletics, but are also present for volunteers and support crews.
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 persons or entities being released, from dangerous
or defective equipment or property owned, maintained or controlled by them or 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
that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders,
sponsors and organizers,
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 of 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 hereafter accrue to me or my traveling to and
from this event, THE
FOLLOWING ENTITIES OR PERSONS: American Bicycle Racing, Inc., The Fireweed 400
Inc., Race Across America, the UltraCycling Marathon Association, their directors, officers, employees,
committee members, members, and agents,
event holders, event sponsors, event directors, event volunteers; and any other party, municipalities or other public entities connected with this event;
indemnify and Hold Harmless the entities of persons mentioned in this paragraph from any and
all liabilities or claims made my other
individuals or entities as
a result of any of my
actions during this event, arising out of my travels to or returning from this event.
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 or filmed.
I agree to allow
photo, video or film likeness to be
used for any legitimate purpose by the event holders,
producers, sponsors, organizers and or assigns.
This ARWL shall be construed broadly to
provide a release and waiver to the maximum extent permissible under applicable law.
I hereby certify that I have read this document and that I
understand its content.
for Minors (under 18 years old)
The undersigned parent and natural guardian or legal guardian does here by represent that he/she is, in fact, acting in such capacity and agrees
save and hold harmless and indemnify each and all of the parties referred to above for all liability, loss, cost, claim or damage whatsoever
which 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 parents or legal guardian.