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OutRival Racing, LLC - Liability Waiver
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OutRival Racing, LLC - Liability Waiver
OutRival Racing, LLC - Liability Waiver
I acknowledge that training for and/or participating in a triathlon, duathlon, cycling, swimming, running or any other endurance sporting event is an extreme test of my physical and mental limits and that such training and/or participation poses potential risks of serious bodily injury, death, or property damage. I have provided Michelle LeBlanc, Lisa Jaster, Karen Ponette-Maldonado, Matt Hemberger, Sarah Gray Hankla, Andrew Cashion, Jarrett Hubert, Todd Teren, Sasja Loftin, Raul Luzardo, Roberto Guiot, Colin Caughgran, Wendy Hammerman, Courtney Livaudais, Hector Gonazlas, Richard Lamb, Nathan Winkelmann, Corey Oliver or any OutRival Racing representative with all information which in any way relates to or that could affect my physical health and attest that I am in good health and my physical condition has been verified by a licensed medical doctor. Furthermore, in return for my participation in this program, I on behalf of myself and my heirs or executors I hereby: a) WAIVE, RELEASE, and DISCHARGE OutRival Racing LLC or any of the OutRival Racing officers, directors, administrators, employees, consultants, coaches and agents from any claims, costs or liabilities for personal injury, illness, death or damages of any kind which I may have now, or at any time in the future, resulting from participation in this or any other program; b) AGREE NOT TO SUE any of the persons or entities mentioned above for any claims, costs or liabilities that I have waived, released or discharged herein; c) INDEMNIFY, DEFEND, and HOLD HARMLESS, the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.
Athlete Name
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Last
Athlete Date of Birth
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Parent's Name (if Athlete under 18)
First
Last
Athlete or Parent Signature
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Enter your first and last name.
Email
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Athlete Phone Number
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Emergency Contact Name
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First
Last
Emergency Contact Number
*
Different than Athlete Phone Number
Any health concerns we should be aware of?
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Today's Date
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USAT # (if applicable)
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USCF # (if applicable)
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Coach you are working with or Program you are in:
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