2002 FAIR HILL MOUNTAIN BIKE RACER ENTRY FORM
Athlete's Entry and Release Form
I acknowledge that by signing this document, I am releasing the Delaware Trail Spinners, a not-for-profit corporation in the State of Delaware, and their respective agents, employees, volunteers, members, sponsors, promoters, and affiliates (collectively "Releasees") from liability. This race is part of the Mid-Atlantic Super Series 2002, and the respective agents, employees, volunteers, members, sponsors, promoters, and affiliates of the Super Series are also deemd to be included in "Releasees". This entry blank and release is a contract with legal consequences. I have been advised to read it carefully before signing. In consideration of the Releasees acceptance of my application for entry in the 2002 Fair Hill Mountain Bike Race, I hereby freely agree to and make the following contractual representations and agreements.
I acknowledge that cycling is an inherently dangerous sport and fully realize the dangers of participating in a bicycle race and fully assume the risks associated with such participation including, by way of example, and not limitation, the following: the dangers of collision with pedestrians, vehicles, other racers, and fixed or moving objects; the dangers arising from surface hazards, equipment failure, inadequate safety equipment, the releasees' own negligence, and weather conditions; and the possibility of serious physical and/or mental trauma or injury associated with athletic cycling competition.
For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest (collectively "Successors") I hereby waive, release, discharge, hold harmless, and promise to indemnify and not to sue the Releasees, property owners, law enforcement agencies, all public entities, special districts and properties, and their respective agents, officials, and employees through or by which the events will be held, (the foregoing are also collectively deemed to be Releasees), from any and all rights and claims including claims arising from the Releasees' own negligence, which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with the event, or travel to or return from the event.
I agree it is my sole responsibility to be familiar with the race course, the Releasee's rules, and any special regulations for the event. I understand and agree that situations may arise during the race which may be beyond the immediate control of the race officials or organizers, and I must continually ride so as to neither endanger myself or others. I accept responsibility for the condition and adequacy of my competition equipment. I will compete wearing a helmet which satisfies the requirements of the Releasees Racing Rules or Regulations and that can protect against serious head injury, and assume all responsibility and liability for the selection of such a helmet. I have no physical or medical condition which to my knowledge, would endanger myself or others if I participate in this event, or would interfere with my ability to participate in this event.
I agree, for myself and my Successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my Successors assert my claim in contravention of this agreement, the asserting party shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of any other provision herein or as a consent to any subsequent waiver or modification.
Every term and provision of this agreement is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable.
First Name:____________________ Last Name:____________________ Team _________________
Address:________________________________________________________________________
City:_________________________________________State:___________Zip:_______________
Sex: Male:_____ Female:______ Racing Age(*):________ DayTime Tel: (________) ______________
*Race Age is your age on December 31 of this year.
Check ONE of the following:
Beginner 1st Time____     Beginner Adv_____     Sport_____     Expert_____     Pro/Semi-Pro______
Kids_____     Endurance______
Signature of entrant:_____________________________ Date:______/______/______
Consent And Release Of Parent Or Guardian
I am the parent or guardian of _______________________(child). My Child is fit for the race, and I consent to my Child's participation. I HAVE READ AND I UNDER-STAND THE ATHLETE'S ENTRY AND RELEASE FORM. In consideration of allowing my Child to participate, I consent to it and agree that ITS TERMS SHALL LIKEWISE BIND ME. MY CHILD, my heirs, legal representatives, and assignees. I HEREBY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE RELEASEES FROM EVERY CLAIM AND ANY LIABILITY that I or my Child may allege against the Releasees (including reasonable attorney's fees or costs) as a direct or indirect result of injury to me or my Child because of my Child's participation in the event, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or others. I PROMISE NOT TO SUE RELEASEES on my behalf or on behalf of my Child regarding any claim arising from my Child's participation in the Race.
Signature of Parent or Guardian:___________________________ Date:____/____/____
To Pre-Register, Print out this on-line form, and mail it before June 30, 2002, completed with a check for $20 payable to:
Delaware Trail Spinners
7 Riverwood Drive
Landenberg, PA 19350
After June 30, the fee is $25.