Skip to form

Charlottesville Area Trail Runners

dahlhausen@gmail.com

Form Section 1
image

PARTICIPATION AGREEMENT AND RELEASE OF LIABILITY

Full Name
Full Address

Emergency Contact

Full Name

Liability Waiver

 

I acknowledge that this is a trail running race and carries with it the potential for serious injury and even death. The risks of participating include, but are not limited to, those caused by terrain, facilities, temperature, weather, nature, other athletes or volunteers, lack of hydration, equipment, and vehicular traffic. I understand that the race takes place on a combination of paved and dirt trails.  I understand that there will not be immediate medical help if I become injured away from race staff.  I hereby assume all of the risks of participating in this event. I certify that I am at least 18 years of age and am physically fit, have sufficiently trained and prepared for participation in the event and have not been advised otherwise by a qualified medical person. I hereby consent to receive medical treatment which may be deemed advisable in the event of an injury, accident, and/or illness during this event. I understand that all medical and/or emergency evacuation costs for participants or crews will be borne by that person. The race organizers and sponsors are in no way liable or responsible for medical costs or emergency evacuation. In consideration of my application 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) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, THE FOLLOWING ORGANIZATIONS/PERSONS:  Charlottesville Area Trail Runners, The Miller School of Albemarle, Albemarle County, Crozet Running LLC, Boar's Head Resort, Charlottesville Multisports, the event holders, event sponsors, event directors, event volunteers, and medical staff; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a results of any of my actions during this event. I understand that at this event or related activities, I may be photographed, filmed, or videotaped. I agree to allow my name, photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, and organizers. I have read, understand, and agree to abide by the rules of the event. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors, and organizers, in which I may participate and that it will govern by actions and responsibilities at said event. I understand that this AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document; and I understand its content. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns.

I understand that if I am a parent/legal guardian registering my child for this event, I fully accept these risks for his/her participation in this event and understand that I am fully responsible for communicating the rules and risks of this event to my child.

Sign Here