PRESENTED BY HARFANG AND KEBBEK. PARTICIPATION, LIABILITY AND PUBLICITY RELEASE AND WAIVER. READ CAREFULLY BEFORE SIGNIN
5th MONTREAL’S ANNUAL LONGBOARD PUSH RACE 2015 PRESENTED BY HARFANG AND KEBBEK PARTICIPATION, LIABILITY AND PUBLICITY RELEASE AND WAIVER READ CAREFULLY BEFORE SIGNING I, (full name) _________________________________________________________________________________ agree as follows: EMAIL : _________________________________________________________________________________ AGE : _____________ CLASS (you can choose more than one):
□ OPEN □ WOMEN □ JUNIOR (30)
1. I have read, understood and will comply in all aspects with the official rules of the “5th Montreal’s Annual Longboard Push Race 2015”. 2. I understand that the race is an arduous athletic event, and that I must be physically fit, understand my physical limitations, and be sufficiently selfaware in order to compete without injury or illness. I understand that there are no water, food or aid stations on the course.
3. I acknowledge that during the competition, I must obey all applicable laws and regulations, and the directions of race officials and of local authorities. 4. I understand that the course is based on the use of bike paths of the city of Montreal and that they can cross or use roads open to traffic. 5. I understand that the race officials reserve the right to disqualify a participant, or to cancel, suspend, amend or terminate the race at any time, at their sole and absolute discretion, if any factor interferes with the ability of the participants to safely complete the race. I understand that, in the event that I am disqualified or am otherwise unable to complete the race, I will not be entitled to a refund of my entry fee.
6. In consideration of being permitted to participate in the race, intending to be legally bound, I
do hereby, for myself, and my heirs, executors, and administrators: (a) waive any right action or claim for damages I may suffer, against any person, organization and legal entity involved in the race for any injury I might suffer in connection with my application, my participation, my transportation to the race or my return from the race. (b) agree that the race organizers may take pictures, film, record and use all aspects of my participation in any promotion, advertisement or commercial activity without any potential claim. (c) ASSUME FULL RESPONSIBILITY AND ALL LIABILITY for my actions or omissions, and any loss, injury or damage to any persons or property which results from my actions or omissions, whether negligent or otherwise, in connection with my participation in the race. (d) ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the race whether caused by the negligence of the race organizers or otherwise.
7. Any and all references in this participant release and waive to “race organizers” shall include any and all of the race organization members, volunteers, successors, sponsors and associated entities. 8. I acknowledge that this participation release and waiver, when completed, must be submitted prior to my participation in the race. I HAVE READ AND UNDERSTOOD THIS PARTICIPATION, LIABILITY AND PUBLICITY RELEASE AND WAIVER. IN CONSIDERATION OF MY PARTICIPATION I AGREE TO RELEASE THE ORGANIZATION OF THE COURSE BY THE TERMS DESCRIBED ABOVE. I AM AWARE THAT IN SIGNING THIS AGREEMENT, I WAIVE CERTAIN RIGHTS THAT FOR MY SELF, MY HEIRS, PARENTS, RELATIVES BY AFFINITY, LIQUIDATORS OR REPRESENTATIVES MAY HOLD AGAINST THE ORGANIZERS OF THE RACE.
Signed in _________________________, this__________ day of ___________________, 2015
__________ ___________ __________ __________ Signature of participant
Name and phone of participant
Signature of witness
Name and phone of witness
THIS SECTION MUST BE COMPLETED AND SIGNED IF PARTICIPANT IS A MINOR. I HAVE READ AND UNDERSTOOD THIS PARTICIPATION, LIABILITY AND PUBLICITY RELEASE AND WAIVER, AND I HAVE DISCUSSED THIS DOCUMENT AND ITS CONSEQUENCES WITH THE MINOR SIGNING ABOVE. I AM SATISFIED OF HIS UNDERSTANDING OF THE IMPLICATIONS AND CONSEQUENCES SUCH AS DESCRIBED ABOVE. IN CONSIDERATION OF THE PARTICIPATION OF MY CHILD / MINOR WARD,I AGREE TO RELEASE THE ORGANIZATION OF THE COURSE BY THE TERMS DESCRIBED ABOVE. I AM AWARE THAT IN SIGNING THIS AGREEMENT, I WAIVE CERTAIN RIGHTS THAT FOR MY SELF, MY HEIRS, PARENTS, RELATIVES BY AFFINITY, LIQUIDATORS OR REPRESENTATIVES MAY HOLD AGAINST THE ORGANIZERS OF THE RACE.
Signed in _________________________, this__________ day of ___________________, 2015
__________ ___________ __________ __________ Signature of representative
Name and phone of representative
Signature of witness
Name and phone of witness
