Planet Inline Skating Races 2010

WAIVER AND RELEASE OF LIABILITY
Planet Inline Skating Races 2010
PLEASE READ CAREFULLY

In consideration of being allowed to participate in the Planet Inline Skating Races 2010, the undersigned:

In submitting this entry,I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS AND AGREE NOT TO SUE Tailwynd, LLC., Planet Adventure, LLC., IndyXpress LLC, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, volunteers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, or any resulting expense or cost WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. This applies to the above stated entities and individuals while participating and/or working within the event’s geographical parameters; including pre-event setup and post-event breakdown and any other event-related activities.

UNDER 18: AS A PARENT OR GUARDIAN OF THE BELOW NAMED MINOR, I HEREBY CERTIFY THAT I HAVE READ ALL THE ABOVE DOCUMENT, THAT I GIVE MY PERMISSION FOR MY CHILD OR WARD TO PARTICIPATE IN THIS EVENT AND THAT I AGREE ON BEHALF OF MYSELF AND MY CHILD/WARD TO THE TERMS OF THIS DOCUMENT.

THE UNDERSIGNED HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTANDING THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.

Race (circle): [Brookside 5/8]  [Eagle Creek 5/16]  [Lawrence 7/11]  [Southeastway 8/8]  [Race 5 TBA 8/28]

Participant

Printed Name: _____________________ Signature: ___________________________
Email: _____________________________________ Phone: ______________________________

Under 18 Required: Parent or Guardian

Printed Name: _____________________ Signature: ___________________________

Emergency Contact:

Printed Name: _____________________ Phone: ___________________________