Step 1 of 4 (Registration Agreement)

Siouxperman Triathlon

Saturday, May 1, 2021 in Sioux Center, IA at All Seasons Center

  • Individual Entry



* Click here for fee information


Waiver and Release of Liability

I acknowledge that this is a running, swimming, and biking race and carries with it the potential for serious injury and even death. The risks of participating include, but are not limited to, those caused by terrain, facilities, temperature, weather, nature, other athletes or volunteers, lack of hydration, equipment, vehicular traffic, and contagious viral diseases such as COVID-19. I understand that the race takes place on a combination of on and off-road trails and in a swimming pool. I understand that there will not be immediate medical help if I become injured away from race staff. Additionally, I understand that this race is being held during the COVID-19 Pandemic and I understand that I may contract COVID-19 during my participation in this event and understand that the race organizers are not responsible for protecting me from a potential infection with COVID-19. I hereby assume all of the risks of participating in this event. I certify that I am at least 18 years of age and am physically fit, have sufficiently trained and prepared for participation in the event and have not been advised otherwise by a qualified medical person. I hereby consent to receive medical treatment which may be deemed advisable in the event of an injury, accident, and/or illness during this event. I understand that all medical and/or emergency evacuation costs for participants or crews will be borne by that person. The race organizers and sponsors are in no way liable or responsible for medical costs or emergency evacuation. In consideration of my application and permitting me to participate in this 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, THE FOLLOWING ORGANIZATIONS/PERSONS: Siouxperman, Inc., the City of Sioux Center, the event holders, event sponsors, event directors, event volunteers, and medical staff; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a results of any of my actions during this event. I understand that at this event or related activities, I may be photographed, filmed, or videotaped. I agree to allow my name, photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, and organizers. I have read, understand, and agree to abide by the rules of the event. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors, and organizers, in which I may participate and that it will govern by actions and responsibilities at said event. I understand that this AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document; and I understand its content. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.

I understand that if I am a parent/legal guardian registering my child for this event, I fully accept these risks for his/her participation in this event and understand that I am fully responsible for communicating the rules and risks of this event to my child.



Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 7:06:01 AM EST on 03/06/2021.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 7:06:01 AM EST on 03/06/2021


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