Waiver Form

Fields marked with an * are required

- READ BEFORE SIGNING -

IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY WAY IN THE  BIRCHWOOD LAKES COLONY CLUB TRIATHLON RELATED EVENTS AND ACTIVITIES, I

, THE UNDERSIGNED, ACKNOWLEDGE, APPRECIATE, AND AGREE THAT:
1.- THE RISK OF INJURY FROM THE ACTIVITIES INVOLVED IN THIS RACE IS POSSIBLE AND INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING:
DROWNING, NEAR DROWNING, SPRAINS, STRAINS, FRACTURES, HEAT AND COLD INJURIES AS WELL AS OVERUSE SYNDROME INJURIES;
2.- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF THE
RELEASES OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION; AND,
3.- I WILLING AGREE TO COMPLY WITH THE STATED AND CUSTOMARY TERMS AND CONDITIONS FOR PARTICIPATION IN THIS EVENT.
HOWEVER, IF I OBSERVE AN UNUSUAL SIGNIFICANT HAZARD I WILL REMOVE MYSELF FROM AND NOTIFY THE NEAREST OFFICIAL; AND,
4.- I MYSELF, AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVE AND NEXT OF KIN, HEAR BY RELEASE INDEMIFY; AND,
HOLD HARMLESS THE BIRCHWOOD LAKES COLONY CLUB, THE TRIATHLON, THEIR OFFICERS, OFFICIALS, AGENTS, AND OR EMPLOYEES,
OTHER PARTICIPANTS, THE TOWNSHIP OF MEDFORD, MEDFORD POLICE DEPARTMENT, ST. MARY'S OF THE LAKES, SPONSORING AGENCIES,
SPONSORS, ADVERTISERS,VOLUNTEERS AND, IF APPLICABLE, OWNERS AND LESSORS OF PREMISES USED TO CONDUCT THE EVENT RELEASE
LIABILITY. WITH RESPECT TO ANY AND ALL INJURY. DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER
ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE TO THE FULLEST EXTENT PERMITTED BY LAW;
5.- I FURTHER STATE THAT I AM IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN THIS EVENT AND I'M OVER 18 YEARS OF AGE.
(NOTE: IF UNDER 18 YEARS OF AGE, MUST HAVE PARENT/LEGAL GUARDIAN SIGNATURE)
6.- THE ORGANIZERS RESERVE THE RIGHT TO POSTPONE, CANCEL, OR MODIFY THE EVENT DUE TO WEATHER CONDITIONS OR OTHER

FACTORS BEYOND THE CONTROL OF THE ORGANIZERS WHICH COULD EFFECT THE HEALTH AND SAFETY OF THE PARTICIPANTS.

7.- PARTICIPANTS GIVE THE BIRCHWOOD LAKES COLONY CLUB PERMISSION TO USE PHOTOS TAKEN DURING THE EVENT FOR USE IN IT'S PROMOTION OF THE BIRCHWOOD LAKES TRIATHLON WEBSITE AND DIGITAL MEDIA.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND IT'S TERMS AND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.