Chippewa Triathlon

Saturday, June 10, 2023 in Cass Lake, MN

What category would you like to sign up for? You can sign up for any of the following categories.

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Waiver & Release

I acknowledge that this athletic event is an extreme test of a personís physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by the lack of hydration or over hydration, terrain, facilities, temperature, weather, conditions of participants, equipment, vehicular traffic, actions of other people; including, but not limited to, participants, volunteers, spectators, coaches, event officials, event monitors, the public, and the producers of the event. I hereby assume all of the risks of participating in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. 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 agree that I will have an appropriate PFD for each person in the canoe or kayak and will wear such in the areas designated, including at the start of the event until no longer mandatory; and will wear an approved bike helmet during the bike portion of the event. I acknowledge that wearing protective eyewear is encouraged at all times in the event. I acknowledge that this waiver and release of liability form will be used by the event holders, sponsors and organizers for the event in which I participate and it will govern my actions and responsibilities at said events. In consideration of my registration 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) I hereby waive, release and discharge from any and all liability for my death, disability, personal injury, property damage or loss, or actions of any kind which may hereafter accrue to me including my traveling to and from this event, the following entities or persons: Chippewa Triathlon, any of its volunteer board members or volunteer assistants, USDA Forest Service, Cass County, Pike Bay Township, Wilkinson Township, City of Cass Lake, Potlatch Minnesota Forestlands, LLC; MN DOT, LLBO,MN DNR, their directors, officers, employees, volunteers, representatives, and agents, private land owners on or directly adjacent to the event course, the event sponsors, directors, volunteers and board members; and B) I agree to indemnify and hold

harmless the entities or persons mentioned in this release from any and all liabilities or claims made as a result of participation in this event, whether caused by the negligence of releasees or otherwise. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and or illness during this event. I understand that at this event or related activities I may be photographed and I agree to allow my photo, or likeness in a video to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and/or assigns. This waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. In addition, I ACKNOWLEDGE THE CONTAGIOUS NATURE OF COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases by participating in this event. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in this event and personally assume this risk. (If under 18 years old, parent or guardian must also sign) Age The undersigned parent and natural guardian or legal guardian does hereby represent that he or she is in fact acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.

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 9:08:51 PM EDT on 05/31/2023.