Youth Enduro Series #1 St George

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Team name   First name   Last name   Email address   Are you a member? NoYes Enter membership email   Age at end of year after event 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   Hometown Other   -- AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT   Sponsor Other     Emergency contact name   Emergency phone #   Category Choose one 10-12 Boys 10-12 Girls 13-14 Boys 13-14 Girls 15-16 Boys 15-16 Girls 17-18 Boys 17-18 Girls 19-20 Boys 19-20 Girls Advanced Boys 15-20 Advanced Girls 15-20 Dad's Support Class Mom's Support Class   Event entry fee TBD 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 Youth Enduro Series Race Series Registration and Release of Liability / Indemnity Agreement THIS IS A LEGALLY BINDING CONTRACT. YOUR SIGNATURE HEREON CONFIRMS YOUR AGREEMENT TO ALL TERMS AND CONDITIONS CONTAINED HEREIN. In consideration of my participation (or my minor child’s participation) in this event, I hereby agree and attest to the following. 1. I fully understand the inherent hazards involved in the sport of mountain bike racing, including, but not limited to injuries, paralysis and / or death caused by falls, collisions with other competitors, collisions with animals, collisions with people, collisions with inanimate objects, etc. I VOLUNTARILY ASSUME All SUCH RISKS WITH FULL KNOWLEDGE AND APPRECIATION OF THE HAZARDS INVOLVED. 2. I voluntarily agree to assume all risk of personal injury, including paralysis and / or death that may occur during or after my participation in this event which may be related thereto. I HEREBY KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, AND AGREE TO INDEMNIFY, HOLD HARMLESS AND DEFEND Youth Enduro Series Race Series, AND THEIR MEMBERS, OFFICERS, SPONSORS, ASSIGNS, SUCCESSORS, EMPLOYEES AND AGENTS FROM ANY AND ALL LIABILITY FOR ANY DAMAGE, INJURY, PARALYSIS, OR DEATH WHICH MAY OCCUR AS A RESULT OF MY (OR MY MINOR CHILD’S) PARTICIPATION IN THIS EVENT. THIS RELEASE SHALL BE EFFECTIVE EVEN THOUGH SUCH LOSS, DAMAGE, OR INJURY RESULTS 3. OR HAS RESULTED FROM THE NEGLIGENCE, WRONGFUL ACTS, OMMISSIONS, BREACH OF WARRANTY OR STRICT TORT LIABILITY OF Racers and Chasers, OR THE OTHER PARTIES RELEASED. I accept the terms of the waiver Name of parent or guardian who approves this activity Please enter your name here