Planet Adventure Trail Marathon

WAIVER AND RELEASE OF LIABILITY
Planet Adventure Trail Marathon – 2011
PLEASE READ CAREFULLY

In consideration of being allowed to participate in the Planet Adventure Trail Marathon, 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.

Participant

Printed Name: _____________________ Signature: ___________________________
Address: ___________________________________________ City: ___________________ State: ___ Zip: ___________
Email: _____________________________________ Phone: ______________________________ Age: ______ Gender: M / F

Under 18 Required: Parent or Guardian

Printed Name: _____________________ Signature: ___________________________

Emergency Contact:

Printed Name: _____________________ Phone: ___________________________