2019 IT&E OFF-ROAD DUATHLON & TRAIL RUN

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Team name   First name   Last name   Email address   Date of birth DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    MM 01 02 03 04 05 06 07 08 09 10 11 12       YYYY 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920    Gender -- Male Female Female/Male   Team member names Other     Team member names Other     Phone #   Address   Emergency contact name   Emergency phone #   Distance Choose one DUATHLON INDIVIDUAL DUATHLON TEAM RELAY 6KM TRAIL RUN   Category Choose one MEN WOMEN Choose one MEN WOMEN Choose one MEN'S TEAM RELAY MIXED TEAM RELAY

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE TRIATHLON ASSOCIATION OF THE CNMI (TRAC) AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT. Please read this acknowledgment, waiver and release from liability carefully before continuing with your entry. In registering for the Triathlon Association of the CNMI (TRAC) events, I agree to the following terms and conditions: I/We the undersigned in consideration of, and as a condition of acceptance of my entry in the TRAC events for myself, I/we hereby waive all and any claim, right or cause of action which I/we might otherwise have arising out of my death or injury, damage or loss of any description whatsoever I may suffer or sustain the course of, or consequent upon my entry or participation in the event. I am in good physical health and am participating in the TRAC event at my own risk. Neither the organizers nor its councilors, employees, agents, contractors, sponsors, volunteers shall be liable for any loss or damage whatsoever caused to me arising out of or contributed to by my participation in the event, including any loss or damage that may arise out of negligence of any of the parties as mentioned above. If entrant is under 18, I certify that I am the parent/legal guardian of and he/she has my consent to participate in the TRAC event. This waiver, release and discharge shall be (and operate separately) in favor of all persons, corporations and bodies involved, or otherwise engaged in promotion or staging the event and each of their servants, agents, representatives and officers. Under no circumstances will a refund be provided. All medical information must be declared. The medical questions have been answered truthfully and I/we acknowledge that I/we should seek medical advice prior to participating in the event if I/we have suffered or I/we am/are suffering from a medical condition or injury. Consent to medical treatment: I/we consent to receiving any medical treatment that the event organizers or their authorized representatives consider necessary or desirable during or after the event. I/we give permission for the free use of my name, voice or picture in any broadcast, telecast, advertising, promotion or other account of this event, including advertising and promotions for future activities and TRAC events. I/we agree to read the event rules and regulations and conform to them. I accept the terms of the waiver