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READ THIS DOCUMENT (THE "WAIVER AGREEMENT") CAREFULLY BEFORE SIGNING.  THIS WAIVER AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS AND WILL LIMIT OR ELIMINATE YOUR ABILITY TO BRING A FUTURE LAWSUIT.   I understand and acknowledge that I am legally agreeing to the statements in the following paragraphs of this Waiver Agreement by affixing my signature below and that these statements are being accepted by USA Triathlon (hereinafter "USAT") in consideration for (i) allowing me to become a member of USAT, (ii) issuing me a single event license or permit, and/or (iii) permitting me to participate in any USAT sanctioned event; and I further understand and acknowledge that my statements are being relied upon by race sponsors, organizers, administrators, volunteers and other parties defined below as the "Released Parties."   1.  I acknowledge that a triathlon, duathlon, or other multi-sport event (hereinafter "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 damage.  I acknowledge and agree that it is my responsibility to determine whether I am sufficiently fit and healthy enough to safely participate in an Event, and I attest and certify that I am or will be sufficiently fit and physically trained to participate in any Event which I elect to enter. I have no physical or medical condition which would endanger myself or others if I participate in any Event, or would interfere with my ability to safely participate in any Event.  I accept responsibility for the condition and adequacy of my competition equipment and my conduct in connection with any Event.  I understand and acknowledge the dangers associated with the consumption of alcohol and/or drugs before, during and after any Event and I recognize that consumption of alcohol and/or drugs might impair my judgment and/or motor skills.  I assume full responsibility for any injury, loss or damage associated with my consumption of alcohol and/or drugs.   2.  On behalf of myself, my executors, administrators, heirs, next of kin, successors and assigns, and anyone else who might sue on my behalf, I HEREBY WAIVE, RELEASE, and FOREVER DISCHARGE USAT, all Event sponsors, Event producers, Event staff, administrators, officials, contractors, vendors, and organizers (including race directors), volunteers, all other persons or entities involved with an Event, states, cities, towns, and other governmental bodies and locations in which an Event or portions of an Event takes place, and the officers, directors, employees, agents, insurers, other participants and representatives of all of the above (collectively, the "Released Parties"), from any and all claims, causes of action, damages, losses (economic and non-economic), and liabilities of every kind (collectively "Claims"), for death, personal injury, or property damage, which may arise out of, result from, or relate to my participation in, or my traveling to or from, any USAT sanctioned Event, including but not limited to any Claims for theft, damage to any equipment, negligence, partial or permanent disability, Claims relating to the provision of first aid, medical care, medical treatment, or medical decisions (at an Event site or elsewhere), and any Claims for medical or hospital expenses.   3.  I acknowledge and ASSUME ALL OF THE RISKS and aspects of an Event.  I acknowledge that running, bicycling, swimming and other portions of an Event are inherently dangerous and I understand that I will be participating in an Event at my own risk, that I am responsible for the risk of participation in an Event, and that I am waiving and releasing my legal rights to sue for any injury or damages arising out of or resulting from my participation in an Event.  I further understand that any injury or damages incurred may be the result of negligence, omission or carelessness by the Released Parties   4.  I FURTHER COVENANT and AGREE NOT TO SUE any of the Released Parties for any of the Claims that I have waived, released, or discharged herein.  I AGREE TO INDEMNIFY and HOLD HARMLESS the Released Parties from any and all expenses incurred, Claims made, or liabilities assessed against them, including but not limited to attorneys' fees and litigation expenses, arising out of or resulting from, directly or indirectly, in whole or in part, my breach or failure to abide by any part of this Waiver Agreement, my breach or failure to abide by any of USAT's Competitive Rules, and my actions or inactions which cause injury or damage to any other person.   5.  I AGREE to abide by the Competitive Rules adopted by USAT and the Guide to Prohibited Substances and Prohibited Methods of Doping adopted by the United States Anti-Doping Agency.  I AGREE that prior to participating in an Event I will inspect the race course, facilities, equipment, and areas to be used, and if I believe or become aware that any are unsafe, I will immediately advise the Race Director.  I FURTHER GRANT to Event organizers, USAT, and their licensees the right, permission, and authority to use my name, voice, picture, or photograph, in any broadcast, telecast, commercial advertisement, promotion, or other account of an Event, and I WAIVE any rights to future compensation to which I might otherwise have been entitled for such use.   6.  The parent or legal guardian who signs the Waiver Agreement on behalf of a minor, incapacitated and/or mentally challenged person (hereinafter "Said Person"), hereby acknowledges that he or she has the legal capacity and authority to act on behalf of Said Person to legally bind Said Person to the Waiver Agreement.  The parent or legal guardian who signs the Waiver Agreement agrees to indemnify and hold harmless the Released Parties for any expenses incurred, Claims made, or liabilities assessed against them, as a result of any insufficiency of legal capacity or authority to act on behalf of Said Person in the execution of the Waiver Agreement.   7.  If any provision of this Waiver Agreement shall be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Waiver Agreement and shall not affect the validity and enforceability of any remaining provisions.           2014 ACKNOWLEDGMENT WAIVER & RELEASE FROM LIABILITY FORM (AWRLF) FOR THE LIFE TIME KIDS TRIATHLON- WARRENVILLE   Read this form carefully.  Once you have read this form, if you agree to all the terms and conditions contained in this from click the I AGREE button at the bottom of this page and proceed with registration.  If you are under 18 years in age, a Parent or Guardian is required to input their name and click the (I AGREE) button for you to continue with registration for this event.   I certify that I have carefully read and understand all the 'Confirmation information' contained on the LT Kids Tri Warrenville (Event) web site, attended an Event course talk if I had any concerns or questions regarding any aspect of the Event, and had those questions satisfactorily answered. I further certify that as the participant, I am physically fit and have sufficiently trained to participate in the either the LT Kids Tri Warrenville  or that should my child elect to participate in the LT Kids Tri Warrenville that my child is physically fit and has sufficiently trained to participate and that my physical condition for participation or my child's physical condition for his or her participation has been verified by a qualified licensed medical Doctor (MD).   I also acknowledge that the swim portion of the Event my child or I will be participating in will be an extreme test of my or my child's abilities and carries the potential for death or injury.  I also acknowledge that as the participant in the swim leg of that Event, I or my child must be capable of safely swimming a distance equal to or greater than the swim distance in the Event, and that if I or my child are participating in the LT Kids Tri Warrenville, as the participant, one of the following is true:   a) I have participated on an age group, high school or college swim team. b) I have completed the swim in a triathlon of equal or greater distance. c) I have completed a continuous swim in a pool or in open water of equal or greater distance within the last 30-days.   I also certify that the equipment I or my child will be using in the Event including but not limited to a wetsuit, bike helmet, bicycle, etc., fit properly, have been verified by a qualified professional to be in good working order, and at a minimum meet the standards as outlined on the Event web site under Rules of Participation/Race Day Procedures. I acknowledge that the Event will be an extreme test of my or my child's physical & mental ability & carries the potential for death, serious injury & property loss. Risks include, but are not limited to those caused by terrain; road surface; temperature; water conditions; contact with obstacles or water craft; weather; vehicular traffic; actions of others and lack of hydration. I am aware that the support personnel who will provide emergency first aid will be volunteers. I hereby consent to receive medical treatment for myself or my child that may be deemed advisable in the event of injury, accident or illness during the event(s). I hereby take action for executors, my administrators, heirs, next of kin, successor, assigns and myself as follows:    A. WAIVE, RELEASE & DISCHARGE from any and all liability for myself or my child, for my or my child's death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my child as a result of my or my child's participation in the LT Kids Tri Warrenville: Life Time Fitness, Inc, the producer of the LT Kids Tri Warrenville;  all Event Sponsors; race directors; race staff and crew; race volunteers; the City of Warrenville, the Warrenville Park District, DuPage County, Warrenville City Police, and its (their) office, officers, directors, employees, representatives & agents & volunteers.   B. INDEMNIFY & HOLD HARMLESS the above mentioned persons or entities contained in this AWRLF from any & all liabilities and expenses (including reasonable attorneys' fees) or claims made by other individuals or entities as a result of any of my or my child's actions during the LT Kids Tri Warrenville. I understand that during the Triathlon I or my child may be photographed and I agree to allow my or my child's photo, video, name or likeness to be used for any legitimate purpose by Life Time Fitness, Inc. and all other Event Sponsors and/or assigns without compensation to me or my child.  This form shall be construed broadly to provide a release and waiver to the maximum document; and I understand its contents.  I am aware that the Event (LT Kids Tri Warrenville) is an advertising/marketing vehicle for Events Sponsors (SPONSORS) and that SPONSORS merely provide trade (product and/or services) and/or financial support.  I am also aware that SPONSORS have no part in, or responsibility for, planning, conducting or administering any aspect of the Event or for the well being, health or safety of Event participants.  I hereby agree that in the event of race cancellation due to weather conditions, 'acts of God,' or any other reason, my or my child's Event registration fee shall not be refunded.

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The Life Time Foundation aims to inspire healthy people and a healthy planet – one mission at a time. With a goal of ensuring every child has a healthy start in life, our current mission is all about improving children’s nutrition, beginning with healthy eating and exercise at school and home. Because Life Time Fitness, Inc. contributes all administrative costs, 100% of every dollar donated to the Life Time Foundation directly supports our missions www.ltffoundation.org

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If you selected NO, please enter N/A in this box
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If not a member yet, please select Not a member yet from Drop Down.

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If you have not participated in the past, please select 0 from Drop Down.

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(i.e. swim lessons, swim team, open water swim clinic produced by Life Time, any other sport related training program, etc. )

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(Chicago Tri)

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