SINGLES LEAGUE RACING
2007 RACE SEASON
PARTICIPATION RELEASE FORM
If you do not fully accept the conditions below, and on the reverse side, do not compete or, in any way participate in any event.
PERSONAL INFORMATION (PLEASE PRINT OR TYPE)
NAME:______________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY/STATE/ZIP:___________________________________________________________________
PHONE:______ ______-__________ MALE_______ FEMALE________
ROOKIE(FIRST TIME RACER)_____ BIRTHDAY(MO/DAY/YEAR)____________
EMAIL ADDRESS_______________________________________________________
S1_____________________________ S7______________________________
S2_____________________________ S8______________________________
S3_____________________________ S9______________________________
S4_____________________________ S10_____________________________
S5_____________________________ BEGINNER______________________
S6_____________________________ SNOWBOARDER________________
OPEN CLASS (AGE 21-49)______________ VET CLASS (AGE 50 PLUS)_______
EMERGENCY CONTACT PERSON-NAME__________________________________
PHONE_________________________________
HOME LEAGUE LEAGUE OTHER___________ Bib # ____
HOME CLUB: BB_____ IN_____ PH_____ RB_____ SF_____ SN_____
PLEASE TURN OVER AND COMPLETE REVERSE SIDE
ACKNOWLEDGEMENT AND ASSUMPTION OF RISK AND RELEASE
I, the undersigned, know that alpine skiing is an action sport carrying significant risk of serious personal injury, death or property damage. I also know that there are natural, mechanical, and environmental conditions and risks which independently or in combination with my activities may cause property damage, or severe or even fatal injuries to me or others.
I agree that I am alone responsible for: (a) my safety while participating in competitive events and/or training for competitive events and, (b) providing, utilizing and maintaining that equipment necessary for the safe enjoyment of my participation in such events and specifically acknowledge that the following persons or entities: Including the United States Skiing, the United States Ski Association, the United States Ski Team, the United States Ski Coaches Association, Far West Race Association, Rokka, Chamonix, Elske, Inland, Schusski, LA Counsel, Sierra, Singles League, San Diego, BAC Open, Central, NBS, Portland Counsel, the ski areas, the promoters, the sponsors, the organizers, the promoter clubs, the officials and any agent, representative, officer, director, employee, member or affiliate of any person or entity named above are not responsible for my safety. I specifically RELEASE and DISCHARGE, in advance, those parties from any liability whether, known or unknown, even though that liability may arise out of negligence or carelessness on the part of persons or entities mentioned above. I agree to accept all responsibility for the risks, conditions and hazards which may occur whether they now be known or unknown.
Being fully aware of the risks, conditions and hazards of the proposed activity as a competitor, coach or official, I HEREBY AGREE TO WAIVE, RELEASE AND DISCHARGE any and all claims for damages for death, personal injury or property damage which I may have or which may hereafter accrue to me as a result of any participation in competitive events or training for competitive events, against any person or entity identified above whether such injury or damage was foreseeable or not, including any such claims regarding the design or condition or any equipment utilized by me in such competitive events without regard to whether such equipment is specified or recommended by such persons or entities identified above.
I further agree to forever HOLD HARMLESS AND INDEMNIFY all persons and entities identified above, generally and specifically, from any and all liability for death, personal injury or property damage resulting in any way from my participating in competitive events or training for competitive events.
I currently have, and I agree to maintain throughout the time that I train and compete, a valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and release all persons and entities identified above from providing this coverage for me.
I agree that I will accept and abide by the rules and regulations of the USSA, FWRA and Singles League Racing, and any other rules or regulations imposed by the organizers of any particular competition. This Acknowledgment and Assumption of Risk and Release shall be binding upon my heirs and assignees.
Date:___________________
Signature:_____________________________________