Dirt Digger Crit 2019

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Team name Other     Phone #   Address   Emergency contact name   Emergency phone #   City   State / Province   Distance Choose one Relay Crit Youth 1 Lap Crit Junior 4 Lap Crit Adult 5 Lap Crit Junior 5 Lap Crit   Category Choose one Adult Mens (age 18+) Adult Women (age 18+) Choose one Junior Men (age 11-13) Junior Women (age 11-13) Choose one Junior Men (age 14-17) Junior Women (age 14-17) Choose one Open Men/Women/Coed teams Choose one Youth (ages 10 and under)   Event entry fee TBD

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver WAIVER & RELEASE OF LIABILITY FORM As a parent of a minor child and/or an adult participating in Dirt Digger Crit and in consideration of being allowed the use of the ski venues and/or trails of the Leavenworth Winter Sports Club (LWSC), and on behalf of my heirs, assigns, personal representatives and next of kin, the undersigned: 1. Acknowledge and fully understand that I and/or the minor participant, will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result from only my own actions, the inactions or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be other risks not known to me or not reasonably foreseeable at this time. 2. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 3. Release, waive, discharge and covenant not to sue the LWSC, its affiliated organizations, their representative administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releasees", from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise. FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, including failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of cross country skiing. EVEN IF ARISING FROM THEIR NEGLIGENCE. I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDER-STAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY COMPLYING VOLUNTARILY. I accept the terms of the waiver