Morse Park Summer Triathlon   Web Entry 2008
July 5, 2008
Limited to the first 400 individuals / 25 teams
Name:___________________________________  Age on Dec 31*:______r Male r Female
Street:__________________________________________________  Date of Birth ___- ___-___
City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________
E-mail address _______________________________________________________________
Short Sleeve T-Shirt size: r S  r M r L r  XL  r XXL

Fees:   Pre-registered at least one week in advance - $60.00  -  within one week - $65.00
Race Day (if event has not closed) - $70.00
Teams pre-registered at least one week in advance - $90.00   - Within one week of event  - $93.00
Race Day (if event has not closed) - $99.00
Discounts - $10.00 if USAT Member ALSO $5.00 if age under 21, over 64  OR  $5.00 if Military
(multiply this discount by the number of triathlons that you are registering)
Team Name ___________________________ (send team entries in together)
Check which team division: q Male   q Female  q  Coed
q Visa
     q Mastercard  
Card Number ________________________________ Exp. Date ___________ Amount paid ___________

q Check here if you are a member of USAT.  My USAT membership number is:________________________
Check if appropriate:  q Fat Tire Division  
q Check if entering the Cydesdale or Athena Divsion
q Check here if you would like final instructions sent to you in the mail
q Check here if you will get your final instructions from www.tuxbro.com

Mail completed entry form and entry fee to (checks payable to Tuxedo Brothers): 
Tuxedo Brothers, 6265 Boone Ridge, Zionsville, IN 46077 - fax to 317-873-5803

READ THIS DOCUMENT (THE "WAIVER AGREEMENT") CAREFULLY BEFORE SIGNING. THIS WAIVER AGREEMENT

WILL AFFECT YOUR LEGAL RIGHTS AND WILL LIMIT OR ELIMINATE YOUR ABILITY TO BRING A FUTURE LAWSUIT.

WARNING:  READ CAREFULLY.  THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE USA TRIATHLON AND OTHER PARTIES.  DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.   |
2008 WAIVER AND RELEASE OF LIABILITY,            ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
IN CONSIDERATION of USA Triathlon (“USAT”) allowing me to participate in any USAT sanctioned event (the “Event” or “Events”) as either a member of USAT or through the issuance of a single event license or permit; I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the “Agreement”);
1.        I hereby represent that (i) I am in good health and in proper physical condition to participate in the Event; and (ii) I am not under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to safely participate in the Event.  I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event.
2.        I understand and acknowledge the physical and mental rigors associated with triathlon, duathlon, or other multi-sport events, and realize that running, bicycling, swimming and other portions of such Events are inherently dangerous and represent an extreme test of a person’s physical and mental limits.  I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event Organizers; and other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers (“Risks”).  I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event.
3.        I agree to be familiar with and abide by the Rules and Regulations established for the Event, including but not limited to the Competitive Rules adopted by USAT and the Guide to Prohibited Substances and Prohibited Methods of Doping adopted by the United States Anti-Doping Agency.  I also accept sole responsibility for my own conduct and actions while participating in the Event, and the condition and adequacy of my equipment.
4.        I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties:  USAT, the Event Organizers and Promoters, Race Directors, Sponsors, Advertisers, City of Noblesville, Local Organizing Committees, Venues and Property Owners upon which the Event takes place, Law Enforcement Agencies and other Public Entities providing support for the Event, and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the “Released Parties” or “Event Organizers”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties.  I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liability which any may be incurred as the result of such claim
I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement.  This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement.  If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.
(Athlete or Participant)

Printed Name of Participant:______________________________________ Age ____ Date of Birth:  ___-____-____

Participant's Signature _____________________________________________________ Date _______________

As the Parent and/or Legal Guardian to the minor identified above, I hereby accept and agree to all of the terms and conditions of this agreement in connection with the minor's  participation in the Event(s). If, despite this Agreement, I, or anyone on the minor's behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim.

Parent / Guardian Signature (required if participant is under the age of 18):_____________________________ Date _______

Deadline for postmark is July 2 (unless the field is full).
*- per USAT rules - Your age is determined by how old you are at the end of the year.