I certify that I am physically fit and in good health to participate in this event(s) and have not been advised otherwise by a qualified medical person. I acknowledge that my statements on this waiver are being accepted by the USA Triathlon Club and are being relied on by USA Triathlon and the Club Organizers and the administrators in permitting me to participate in any organized Club function.
In consideration for allowing me to become a Club Member in a USA Triathlon Club and allowing me to participate in organized Club functions I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns:
a) I AGREE to abide by the Competitive Rules adopted by USA Triathlon, including the Medical Control Rules, as they may be amended from time to time, and I acknowledge that my Club membership may be revoked or suspended for violation of the Competitive Rules;
b) I WAIVE, RELEASE, AND DISCHARGE, from any and all claims or liabilities for death, personal injury, property damage, theft or damages of any kind, which arise out of or relate to my participation in, or my traveling to and from an organized Club function, THE FOLLOWING PERSONS OR ENTITIES; USA Triathlon Clubs, Club Sponsors, volunteers, all states, cities, countries or localities in which Club functions or segments of Club functions and held, and the officers, directors, employees, representatives, and agents of any of the above;
c) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and
d) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function.
I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS. If the applicant is under eighteen (18) years of age, their parent/guardian must sign this waiver on the minor's behalf.
USAT Competitive Rules are available online at:
USAT MEDICAL CONTROL RULES are available online at:
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