608 W 17th StreetMarshfield, WI 54449
Registration Hints: 1) You may register more than one person at a time in the Add Participants Section. 2) Per Race Director- No Refunds will be allowed for any reason. 3) A small fee has been added to the registration for credit card processing
* Required information
ACCIDENT WAIVER AND RELEASE OF LIABILITY
I acknowledge that the registered event is an extreme test of a personís physical and mental limit and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, participants, spectators, volunteers, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. I herby assume all the risks for participating in this event. I certify that I am physically fit, have sufficiently trained for participation in the event, and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability (AWRL) will be used by the event holders, participants, sponsors, service providers, and organizers in which I may participate and that it will govern my actions and the responsibilities at said event.
In consideration of my application and permitting me to participate in the event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property
theft, or actions of any kind which may hereafter accrue to me or my traveling to and from this event, including but not limited to Tortoise & Hare Race Management, LLC, their directors, officers, employees, volunteers, representatives and agents, the event holders, event sponsors, event directors, event volunteers; (B) Indemnify and Hold Harmless the entities or person(s) mentioned in this paragraph from any and all liabilities or claims make by other individuals or entities as a result or my actions during the event.
I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during the event. This AWRL shall be construed broadly to provide release and waiver to the maximum extent permissible under the applicable law:
I grant permission to the event organizers and Tortoise & Hare Race Management, LLC to use my name, image, and photographs, videos, or any other record of my participation in the event for race commercial purposes including but not limited to newspaper, website, brochures, fliers, radio, and television.
I hereby certify that I have read this document and I understand its content.
You may add a maximum of 5
By submitting this form, you're granting:
Tortoise & Hare Race Timing, 11475 Cagle Rd, Woodruff, WI 54568, United Stateshttp://www.tandhtiming.com
permission to email you. You can revoke permission to mail to your email address at any time using
the SafeUnsubscribeTM, found at the bottom of every email. Constant Contact takes your privacy seriously (to