Capitol Peak Mega Fat Ass Trail Run 17 and 34 mile Waiver Release Form (PRINT AND SIGN BOTH FORMS)
 

Name (print):______________________________ Sex ______   Age on day of race ________ Email:_______________________

Cell Phone________________ Emergency Phone #:____________________   Expected distance (circle):   17 miles      34 miles

In consideration of acceptance of my entry in this run: I hereby agree to comply with the rules, conditions, and regulations of the event and instructions of the race director. I am aware and understand that an ultramarathon run is difficult and hazardous for even well conditioned athletes under the most favorable conditions. I hereby attest and certify that I am physically fit and sufficiently trained for this race and that my condition has been tested by running long distances. I hereby for myself, my heirs, executors and administrators, waive, release and discharge the race, its directors, its volunteers, sponsors, the Washington State Department of Natural Resources, from any and all claims and/or liability for any damage, for any and all injuries to me, including death, or my property, or for liability for damage caused by me or anyone else arising from my participation in this event and related activities. I or my estate will assume and pay for my medical and emergency expenses in the event of an accident, illness or other incapacity, including death, regardless of whether I have authorized such expenses.

Send both completed waiver forms to John Pearch, P.O. Box 845, Olympia, WA 98507 or bring to the start.

PRINT AND SIGN BOTH WAIVER FORMS (SEE NEXT PAGE FOR WASHINGTON DEPARTMENT OF NATURAL RESOURCES WAIVER)

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Washington State Department of Natural Resources Release Waiver
(PARENTS OR LEGAL/GUARDIAN MUST ALSO SIGN FOR MINORS)

I, THE UNDERSIGNED, ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, I AM RELEASING THE STATE OF WASHINGTON TO INCLUDE THE DEPARTMENT OF NATURAL RESOURCES, ITS OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS ("RELEASEES") FROM LIABILITY. THIS RELEASE IS A CONTRACT WITH LEGAL CONSEQUENCES. I HAVE READ IT CAREFULLY BEFORE SIGNING.
In consideration of my being allowed to participate in the Capitol Peak Mega Fat Ass Trail Run event in Capitol State Forest I freely agree that:
Running can be dangerous and pose a risk of injury or even death. I fully assume the risks associated with my participation in this event including but not limited to: hazards from improper technique, accidents or illness in remote locations without medical facilities, actions of other participants, equipment failure, inadequate safety measures, THE RELEASEES' OWN NEGLIGENCE, weather conditions, and the risk of any personal or bodily injury, disability or death.

For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest, I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO SUE the Releasees from any and all claims of any kind and character, including claims arising from the Releasees' own negligence, and from any and all damages directly or indirectly arising out of or incident to my participation in the Capitol Peak Mega Fat Ass Trail Run event or transit to and from the area. A "claim" as used in this contract means any financial loss, claim, suit, action, damage, cost, demand or expense, including but not limited to attorneys' fees, attributable to bodily injury, disability, sickness, disease, or death, or injury·to or destruction of tangible property including loss of use resulting there from. Should I or my successors assert a claim in breach of this agreement, the asserting party shall be liable for the expenses (including legal fees) incurred by each Releasee in its defense, unless the Releasee is finally adjudged liable on such claim for willful or wanton negligence. If any term or provision of this agreement is found to be invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable.

PARENT OR GUARDIAN WAIVER FOR MINORS (UNDER 18 YEARS OLD)
The undersigned parent and natural guardian or legal guardian does hereby represent he/she is, in fact, acting is such capacity and agrees to save, hold harmless, and indemnify each and all of the Releasees referred to above from all liability, loss, cost claim or damage whatsoever which may be imposed upon said Releasees because of any defect in or lack of such capacity to so act and release such Releasees on behalf of the minor and the parents or legal guardian.