You must read carefully, sign and date this waiver before participating in event.

In consideration of this membership of the ROCKFORD TRIATHLON CLUB, I hereby for myself, executors, heirs and administrators, and for anyone else who might claim or sue on my behalf that it is my intent to take these actions.  (a) I AGREE to abide by the competitive rules adopted by USA Triathlon, including Medical Control Rules as they may be amended from time to time, and I acknowledge that my membership may be revoked or suspended for violation of the competitive rules.  (b) I AGREE that prior to participating in an event, I will inspect the race / training course, facilities, equipment and areas to be used. If I believe they are unsafe I will immediately advise the person supervising the event, activity, facility or area, and I will choose not to participate in that event, facility, activity or area.  (c) I waive, release, and discharge from any and all claims, losses or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, theft or damage of any kind, including economic losses - which may future arise out of or relate to my participation in or traveling to or from a Rockford Triathlon Club event.  I waive any and all claims I may have for damages against the Rockford Triathlon Club, organizers, directors, president, members and all event sponsors and individuals associated with the club or events or workouts in connection with the club.  I acknowledge that a triathlon or a bisport / duathlon event or training in swimming, biking or running is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury and property loss.

I HEREBY ASSUME THE RISKS INVOLVED IN TRAINING BY SWIMMING, BIKING AND / OR RUNNING.  I certify that I am physically fit and have sufficiently trained for participation in these events and have not been advised against participation by a qualified health professional.  I agree not to sue any of the above listed.  I HEREBY
AFFIRM THAT I AM EIGHTEEN YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENTS. 

Print Name: _______________________________________ 

Sign Name: _______________________________________     Date: _______________

Emergency Contact: ________________________________   Phone: ______________

Relationship: ______________________________________

IF I AM UNDER 18 YEARS OF AGE, BELOW IS THE SIGNATURE OF MY LEGAL GUARDIAN VERIFING THAT HE/SHE HAS READ AND UNDERSTANDS THIS DOCUMENT AND HAS FULLY EXPLAINED THE CONTENTS TO ME.

Sign Name: _______________________________________     Date: _______________