Capitol Peak Mega Fat
Ass Trail Run 17 and 34 mile Waiver Release Form
Name(print):______________________________ Sex ______ Age ________ Email (to send results):_________________________
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.
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Participant Signature:
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Parent/Guardian Signature (if under 18)
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