Liability and Consent Form
I recognize that my signature below denotes that I agree to all the following as a condition for myself/child/family to participate the "I'm Gonna Tri It" (the "Event"). I hereby, intending to be legally bound for myself/child/family, heirs and assigns, executors or administrators, waive and release forever all claims for damages (present or future) against the Memorial Health & Lifestyle, Triple Threat Triathlon Team, Stone Soup Promotions, any volunteer, representative, employee, or agent of those organizations, and any other person associated with the event for any and all injuries/losses sustained while observing, assisting, or otherwise participating in the Event. As consideration to allow myself/child/spouse/family members to participate in the Event, I agree to assume full responsibility for any and all bodily injuries, losses, or damages, which I or they might sustain and grant full permission to Memorial Health & Lifestyle Center and Stone Soup Promotions for the use of my name, photograph, videotape, or other recording in connection with this event.
I attest that I am at least 18 years of age, or have the approval of my guardian of sound mind, not suffering from shock or under the influence of alcohol, drugs or intoxicants. I understand that this is a physical event and I have trained adequately for participation. I have read this ENTIRE wavier and fully understand it. I attest that all the information I have provided in this entry is true and accurate.
[If between the age of 14-18, please have parent or guardian sign form.]