Team Salubrious Running Club


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Team Salubrious Running Club
Registration Form

   First Name:    Last Name:

   Address:  City  State  Zip Code:

   Home Phone:

   In Case of Emergency Contact:    Phone Number:

   Age:     Gender:    Tee Shirt Size:
   If you are under 18 we will require a hard copy of the registration form with a parent/guardian signature.  

   I am signing up for:

   TSRC may use my picture on their website &/or for advertising purposes:

   Please describe your running experience:

   Please describe any problems/injuries you have had with running?

WAIVER:  In consideration of being permitted to participate in Team Salubrious Running Club and/or training programs associated with the running club, I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, covenant not to sue and discharge Team Salubrious Running Club & Training Programs from liability from any and all claims including the negligence of Team Salubrious Running Club and it's agents resulting in personal injury, accidents or illness (including death), and property loss arising from, but not limited to, participation in the marathon training program and other running events.
I have read & understand the Waiver and agree with the terms:

Assumption of Risks:  Participation in running and conditioning programs carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.  I know that running is a potentially hazardous activity and certify that I am in good health and physically fit to enter into a training program.  I acknowledge that I am aware of the many risks involved in athletic training in general and running training specifically, which risks include by way of example and not limitation: 1) minor injuries such as scrapes, bruises, sprains and strains, 2) more serious injuries such as joint, muscle and bone injuries, concussions and other head injuries, heat related injuries such as heat stroke and heat exhaustion, dehydration and over hydration conditions such as hyponatremia, and catastrophic injuries and conditions such as heart attacks and other conditions or injuries which could be fatal.  I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in training for and participating in road, trail and track running and racing and any conditioning and cross training activities associated with that training.  I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
I have read & understand the Assumption of Risks and agree with the terms:

Indemnification and Hold Harmless:  I also agree to INDEMNIFY AND HOLD HARMLESS Team Salubrious Running Club and it's Agents from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in Team Salubrious Running Club's Training Programs and/or events. I have read & understand the Indemnification & Hold Harmless clause & I agree to the terms:

Severability:  The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Minnesota and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement I fully understand it's terms, and I understand that I am giving up substantial rights, including my right to sue.  I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.  I acknowledge that by checking the "I agree" box it is the same as signing my signature.  
I Agree   Signature (type name):    Date (XX/00/XX):