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BADASS DASH™ RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT WARNING BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL
RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT. PLEASE READ CAREFULLY.
This is a binding legal agreement. In CONSIDERATION of the acceptance of my registration to participate in the BADASS Dash™ event, the undersigned acknowledges and
agrees to the following terms:
1. Description of Risks:
In consideration of my registration and participation in the BADASS Dash™ events, I hereby acknowledge that I am aware of the risks and hazards associated with or related
to any such adventure, obstacles, and multisport events. The risks and hazards include, but are not limited to, injuries from:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
Running, Climbing, Crawling, and Swimming;
Executing strenuous and demanding physical techniques;
Vigorous physical exertion, strenuous cardiovascular workouts, rapid movements, quick turns and stops;
Exerting and stretching various muscle groups;
Entering the water by diving, jumping, or falling;
Extended time in mud, ice, water, and underwater;
Extreme weather and temperature conditions, which may result in dehydration, heatstroke, sunstroke, or hypothermia;
Climbing, mounting, dismounting, crawling, or falling of course obstacles;
Falling or colliding with the ground, walls, trees, stands, containers, course obstacles, equipment, or with other participants;
Falling due to slippery surfaces, or uneven or irregular terrain;
Failure to properly use any piece of equipment, obstacle, or from mechanical failure of any obstacle or equipment;
Contact or being struck by other participants, spectators, event staff, obstacles, equipment or vehicles;
Spinal cord injuries, which may render me permanently, paralyzed.
Travel to and from the events, which are an integral part of BADASS Dash™ races, activities and events;
2. Furthermore, I am aware
a.
b.
c.
d.
e.
That injuries sustained can be severe;
That I may experience anxiety while challenging myself during the BADASS Dash™ events.
That I may come into close contact with other participants.
That my risk of injury is reduced if I follow all rules established for participation and competition; and
That my risk of injury increases as I become fatigued.
3. Release Of Liability and Disclaimer
In consideration of Bad Ass Dash LLC / Fun Guys LLC / Bad Ass Dash Canada / It’s Affiliated Companies, Venues, Sponsors, Suppliers, allowing me to participate, I agree:
a.
b.
c.
d.
That my physical condition has been verified by a medical doctor within the past twelve months and I am medically cleared to participate;
To assume all risks arising out of, associated with or related to my participation and am fully aware of the nature of these risks including personal injury, death,
property damage expense, and related loss, including loss of income;
To be solely responsible for any injury, death, loss, including loss of income or damage that I may sustain while participating;
To provide Bad Ass Dash LLC / Bad Ass Dash Canada, and it’s Affiliated Companies, and Sponsors, a worldwide license to use all rights of publicity, including but
not limited to my name, image, and likeness, for purposes of promoting events, in advertising (Promotional Rights) in perpetuity (and such release shall apply to
any images or video taken by Bad Ass Dash LLC or on Bad Ass Dash’s behalf at the events.
To RELEASE, DISCHARGE, SAVE HARMLESS AND INDEMNIFY Fun Guys LLC / Bad Ass Dash LLC / Bad Ass Dash Canada / It’s Affiliated Companies, Venues,
Sponsors, Suppliers, and their respective directors, officers, committee members, members, employees, volunteers, officials, judges, contractors, sponsors,
participants, facilities where the activity occurs, agents and representatives from any and all liability, for any and all claims, demands, actions, judgments,
executions and costs that might arise out of my participating, even though any such risks, injuries, loss, damage, claims, demands, actions or costs may have
been caused by any manner whatsoever , including but not limited to, the negligence, breach of contract or breach of any statutory duty of care of Bad Ass Dash
LLC / Fun Guys LLC / Bad Ass Dash Canada, It’s Affiliated Companies, Venues, Sponsors, Suppliers.
4. Acknowledgement
I acknowledge that I have read and understand this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon my heirs, my
executors, administrators, representatives and myself.
First name: _____________________________________________ Last name: ______________________________________________________
Date of Birth: _____________________________ Valid email: ____________________________________________________________________
MM /
DD
/
YYYY
Address: _______________________________________________________________________________________________________________
City: ______________________________________________ State / Province: ______________
Postal / Zip code: ________________________
Home phone: (__________) _____________________________________ Cell Phone: (__________) ____________________________________
Signature: __________________________________________________________
Date:_______________________________________
PARENT or GUARDIAN please Print & Sign below (if competitor is under 18 years of age):
Parent/Guardian Full Name: _________________________________________________________________________________________________
Signature: ___________________________________________________________
Date: _______________________________________
RELEASE OF LIABILITY AND WAIVER OF ALL CLAIMS BADASS Dash™ Event in Hoffman Estates, IL, May 2, 2015 This Release of Liability and Waiver of Claims is a binding legal agreement between you and the Village of Hoffman Estates, Global Spectrum L.P., Cabela's™, the Prairie Stone Owners Association and ConopCo Realty and Development, and the officers, directors, trustees, elected officials, agents, employees, volunteers, successors and assigns of each, and their affiliates and subsidiaries (the “Releasees”). Warning of Risk In signing this Release of Liability and Waiver of All Claims and Assumption of Risk, I recognize and acknowledge that there are certain risks of physical injury to participants in this program, and I voluntarily agree to assume all risks of any injuries, damages or loss, regardless of severity, including, but not limited to, injuries resulting from:
running, climbing, crawling and swimming;
executing strenuous and demanding physical techniques;
vigorous physical exertion, strenuous cardiovascular workouts, rapid movements, quick turns and stops;
exerting and stretching various muscle groups;
entering the water by diving, jumping or falling;
extended time in mud, ice, water and underwater;
extreme weather and temperature conditions, which may result in dehydration, heatstroke, sunstroke or hypothermia;
climbing, mounting, dismounting, crawling, or falling off course obstacles;
falling or colliding with the ground, walls, trees, stands, containers, course obstacles, equipment or with other participants;
falling due to slippery surfaces, or uneven or irregular terrain;
failure to properly use any piece of equipment, obstacle, or from mechanical failure of any obstacle or equipment; contact or being struck by other participants, spectators, event staff, obstacles, equipment or vehicles;
spinal cord injuries, which may render me permanently paralyzed; and
travel to and from the events, which are an integral part of BADASS Dash™ races, activities and events.
[Initial ___] I am aware that the injuries I may sustain can be severe; and I expressly acknowledge that I may experience anxiety while challenging myself during the BADASS Dash™ events; that I may come into close contact with other participants; that my risk of injury increases as I become fatigued; and that my risk of injury is reduced if I follow all rules established for participation and competition.
[Initial ___] Release of Waiver and All Claims and Assumption of Risk In consideration of the Releasees giving me the opportunity to participate in this BADASS Dash™ Event, I represent that my physical condition has been verified by a medical doctor within the past twelve (12) months and I am medical cleared to participate in the BADASS Dash™ Event on May 2, 2015; and I further understand and voluntarily agree that: a.
b.
c.
I assume all risks arising out of, associated with or related to my participation in the BADASS Dash™ Event and I am fully aware of the nature of these risks including personal injury, death, property damage expense, and related loss, including loss of income; and I am solely responsible for any injury, death, loss, including loss of income or damage that I may sustain while participating; and I voluntarily and irrevocably release, discharge, and agree to save harmless and indemnify the said Releasees from any and all liability for any and all claims, demands, actions or costs that may have been caused or incurred by me in any manner whatsoever, including but not limited to any damage or injury arising out of, in whole or in part, negligence on the part of any one or more of said Releasees, and that I am voluntarily giving up and/or waiving any right I may otherwise have to bring a legal action or claim against any one or more of the Releasees for any personal injury or property damage I may sustain as a participant in the May 2, 2015 BADASS Dash™ Event. I have read and fully understand the above Warning of Risk, and the Release and Waiver of All Claims and Assumption of Risk, and waiver and release of all claims. Please Print
Please Sign Participant’s Name
Date________________________________
Participant’s Signature Date of Birth: _______________________
MM/DD/YYYY Email address: _______________________________________ Address:_______________________________________________________________________________________________ City ________________________________________________ State ____________ Zip Code _______________________ Home phone _____________________________
Cell phone ______________________________________