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The Krista Sprint Adventure Race
August 9, 2008

6 HOUR SPRINT RACE - Hamburg, PA

..On-Line Registration Form..

Please complete and submit this form by July 21, 2008

If you are registering and paying for your entire team, you MUST email us with your other
team mate's: Name, Address, Phone, Email, Shirt size BEFORE the race

All fields are required...

 
Team Name:
 
 
Race FEE: $70.00 per racer.
 
TEAM Category - please check the appropriate box:
TEAMS of TWO:
TEAMS of THREE:
MASTERS TEAM of 2:
MASTERS TEAM of 3:
 
YOUR position --- 

 
Name:
 
 
Address:
 
 
City:
State:
Zip Code:
 
 
Phone (Day/Evening):
 
 
E-mail:
 
 
Tee Shirt Size:
 
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT")

In consideration of participating in the THE KRISTA GRIESACKER MEMORIAL ADVENTURE RACE I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the Activity.

I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity.

I hereby release, discharge, and covenant not to sue GOALS ADVENTURE RACING ASSOCIATION, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

The undersigned further grants full permission to GOALS - ARA and or agents authorized by them to use any photographs, video tapes, motion pictures, recordings, or any other record of this event for any other purpose. GOALS - ARA reserves the right to reject any participant, cancel, or suspend any event or activity without prior notice.

Accept:

     

Submitting this form will take you to PayPal
 
NOTE: Due to problems at PayPal, it is advised that you create a PayPal account
prior to completing the on-line registration process.
We apologize for the inconvenience.

 

GOALS ARA
1302 Spellman Drive
Downingtown, PA 19335

-- Contact Information --

E-Mail GOALS

Phone: 866-338-5167
Fax: 610-466-7015

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Updated: 08-MAR-2008