Register For
IM ABLE Foundation's Ruck & Roll

Wernersville, PA 19565

Registrant #1

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$80.00 + $5.80 SignUp Fee

$60.00 + $4.60 SignUp Fee

$40.00 + $3.40 SignUp Fee

$0.00

$0.00

$20.00 + $2.20 SignUp Fee


Waiver

LIABILITY WAIVER: In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Directors,  RunSignup.com, the IMAble Foundation, the Borough of Ephrata, TCR Event Management, the Commonwealth of Pennsylvania, , USAT, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that competing in a triathlon is a potentially hazardous activity. I should not enter and compete unless I am medically able to do so and properly trained. I assume all risks associated with competing in this event including, but not limited to: drowning, falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in a triathlon. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the triathlon. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director or race staff to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

PHOTO RELEASE: I hereby grant and authorize IM ABLE Foundation the right to take, edit, alter, copy, exhibit, publish, distribute, and make use of any and all pictures and video taken of me by IM ABLE Foundation to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications without payment or any other consideration. 

This authorization extends to all languages, media, formats, and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing.

I understand and agree that these materials shall become the property of IM ABLE Foundation and will not be returned. A copy of these materials can be obtained by request.

I hereby hold harmless, and release IM ABLE Foundation from all liability, petitions, and causes of action which I, my heirs, representative, administrators, or any other persons may make while acting on my behalf of my estate. 

I agree to the terms of this agreement and I agree that my typed name below can be used as a digital representation of my signature to that fact.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

 




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