BEAR Waiver
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Each Team member needs to turn in two copies of this Waiver/Release

The BEAR entry fees must be sent with completed entry form. Each member's information must be completed on the Team application. Each competitor must sign and turn in a completed Performance Multisports ACKNOWLEDGMENT OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT, either by mail to Performance Multisports or at the Team Meeting before the race to participate in the race under the terms of our sanction and insurance. Enter by mail using the online, printable Entry Form -- CLICK HERE.

Print bring this form to Team Check-in -- TEAM NAME ____________________________

NAME _________________________________

AGE

________
ADDRESS _________________________________

GENDER

__________
CITY _________________________________            STATE ________ ZIP_________
PHONE (h) ___________________________

PHONE (w)

____________________
E-MAIL __________________________________________________

Performance Multisports ACKNOWLEDGMENT OF RISK, RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT

In consideration of the acceptance of my application for entry in the Performance Multisports Adventure Race, I hereby freely agree to make the following contractual representations and agreements. I acknowledge that adventure racing is inherently dangerous. I fully realize the dangers of participating in adventure racing, and fully assume the risk associated with such participation, including but not limited to the following dangers: dehydration, hyperthermia, hypothermia, hyponatremia, drowning, collision with pedestrians, vehicles, and other racers and fixed or moving objects, sliding down hills, falling from rope obstacles, dangers arising from other surface hazards, equipment failure, inadequate safety equipment, weather conditions, animals, the possibility of serious physical and/or mental trauma and injury, including death. I understand that there are more hazards than are enumerated here, and that there are unknown and unforeseeable hazards. I engage in the activity of this race with knowledge of the inherent risks of injury.

I hereby waive, release and discharge myself, my heirs, executors, administrators, legal representatives, assigns and successors in interest (hereafter collectively ‘successors’) any and all rights and claims which the host organization, the promoter, the race director and any sponsors and their boards of directors, property owners, law enforcement agencies, all public entities, special districts, and properties (and their respective agents, officials, and employees) through or by which the event will be held for any and all damages which may be sustained by my participation in and of association with the event, or travel to or return from the event. I agree it is my sole responsibility to be familiar with the race course, the rules of the sanctioning body, and the special regulations of the event. I understand and agree that situations may arise during the race which may be beyond immediate control of the race officials or organizers, and I must run, mountain bike, canoe, orienteer, and negotiate special tests so as to endanger neither myself nor others. I accept responsibility for the conditions and adequacy of my equipment and training. I have no known physical or mental condition which, to my knowledge, would endanger myself or others if I participate in this event, or would interfere with my ability to participate in this event.

I understand the risks involved in this race and I have carefully read, understand and voluntarily accept the terms of this waiver and release agreement. I agree, for myself and successors, that the above representations are contractually binding, and are not mere recitals, and that should I or any of my successors assert any claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjusted liable on such claims for willful or wanton negligence. This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of or as a consent to any other provision herein or as a consent to any subsequent waiver of modification.

In addition, I agree to abide by the rules and conditions laid down for the event and to follow instructions issued by race officials. I understand that circumstances beyond the control of the race director may cause the event to be modified, postponed or relocated. I accept that the organizers reserve the right to refuse entry from persons considered to have insufficient experience or disqualify those who fail to follow the rules and conditions: ignorance is no excuse. I agree that my name, voice or picture may be used by Performance Multisports and race sponsors for promotional purposes. I affirm that the details written about me on this entry form are true.

PRINTED NAME OF APPLICANT __________________________________________
SIGNATURE X _________________________________________

Dated:

_________________________
Signature of Applicant (All applicants must sign in ink.)

FOR MINORS: PARENT OR GUARDIAN MUST COMPLETE THE FOLLOWING

I, as parent or guardian of the Applicant, represent to the Releases that the facts herein concerning my child or ward are true. I give my permission for my child or ward to enter any adventure race or event presented by Performance Multisports during the period of the license applied for, and further agree, individually and on behalf of my child or ward, to the terms of the above agreement.
__________________________________________PRINTED NAME OF PARENT OR GUARDIAN
X_______________________________________

Dated:

_________________________
Signature of Parent or Guardian


Mail completed application and fee (Check or Money Order payable to Performance Multisports) to the address below:
Performance MultiSports 
Jakson Badenhoop, Director
365 Charlemagne Circle
Ponte Vedra Beach, Florida 32082

Amount Paid:

     $__________

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