WAIVER AND RELEASE OF LIABILITY
-- READ BEFORE SIGNING

In consideration of being allowed to participate in any way in Southern Wisconsin Area Triathletes, its related events and activities, I, _____________________________________, the un­dersigned, acknowledge, appreciate, and agree that:
  1. The risk of injury from the activities involved in this program is significant, including the potential for perma­nent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARIS­ING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from partici­pation and bring such to the attention of the Company immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RE­LEASE, INDEMNIFY, AND HOLD HARMLESS SOUTHERN WISCONSIN AREA TRIATHLETES, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUB­STANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


x________________________________

Date Signed: ________________
Print this page and mail application
 

SWAT Team

(Southern Wisconsin Area Triathletes)

Membership Form 

We TRI for fun! 

 

Name:

Address:

City, State, ZIP:

 

Telephone numbers:

Home:                                              Cell:                                 Work:

 

E-mail addresses:

Home:

Work:

Note: Club events/meetings will be communicated through e-mail, so providing an e-mail address in important

 

D.O.B.

[  ] Female    

[  ] Male     

Membership dues are $12 annually. (payable to SWAT )

Return form and dues to:                     Jenny Wimmer

                                                               SWAT Team

                                                                440 Willow Springs Court

Janesville,WI  53548

 

Signature:                                                             Date:

 

Note: membership to the SWAT  requires form to be completed accompanied by annual dues

 

 Office Use Only

Fee paid:  __08 __09  __10  __11  __12  __13  __14  __15  __16  __17  __18 __19  __20 __21  __22__23__24

 

Membership # __________

 

 

 

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