Goals Home GARA Main Join 2008 Race Schedule Upcoming Clinics Training Tips Environmental Porjects Wilderness Clinic Contact GOALSARA Volunteer Sponsors Links Team GOALS Races for 2004 Races for 2005 Races for 2006Races for 2007
 

The
Wascully Wabbit Twail Wun

September 6, 2008 ~ 9 AM

Ridley Creek State Park, PA

..On-Line Registration Form..

Please complete and submit this form by August 22, 2008

 

All fields are required...

 
Name:
 
 
Address:
 
 
City:
State:
Zip Code:
 
 
Phone (Day/Evening):
 
 
E-mail:
 
 
Tee Shirt Size:

GENDER: Male Female

 AGE Category - please check the appropriate box:

 
  50-59
60 +

Fee of $20 when pre-registrating ($25 fee when registering on-site)
Additional donation to athlete's fund $5 $10 $15 $20 $25 $50 other

Other Amount:

 

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT")

In consideration of participating in the THE WASCALLY WABBIT TWAIL WUN I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity.

I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road and trail, including rocky terrain, tree branches. All such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers roller skates or blades, animals, and radio headsets are not allowed in the race and I will abide by this guideline.

I hereby release, discharge, and covenant not to sue GOALS ADVENTURE RACING ASSOCIATION, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.


Accept:

     

Submitting this form will take you to PayPal
 
NOTE: Due to problems at PayPal, it is advised that you create a PayPal account
prior to completing the on-line registration process.
We apologize for the inconvenience.

 

GOALS ARA
1302 Spellman Drive
Downingtown, PA 19335

-- Contact Information --

E-Mail GOALS

Phone: 866-338-5167
Fax: 610-466-7015

Web Page designed and maintained by KLAENE dot NET  

© 2004-2008 GOALSARA

Updated: 18-MAY-2008