CLINTON COUNTY PARTICIPANT WAIVER OF RESPONSIBILITY FORM
I, the undersigned, by participating in the DeWitt Crossroads Triathlon sponsored by First Central State Bank understand and agree that such activity has certain inherent risks that can and do result in injury that can be serious, life limiting, and life threatening. I, the undersigned, agree to release Clinton County, its' elected officials, employees or volunteers from all claims resulting from any and all injuries sustained while participating in the aforementioned event, except that arising out of the sole negligence of the Clinton County, its' elected officials, employees or volunteers. If participant is a minor (under the age of 18), a parent or legal guardian must sign this form.