Age Group and Heat Time
Ages 5-8 1:30-2:00 pm
Age 9-13 1:00-1:30 pm
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Shirt Size (Youth Sizes)
Parent or Guardian Information
State / Province / Region
ZIP / Postal Code
*Must not be running the race
Emergency Contact Number
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Hold Harmless, Waiver of Liability
1. I accept and assume all responsibility for my personal actions and any and all rise of personal injury that occur during, arise out of or result from my participation in the Swamp Battle OCR at WW Motocross Ranch.
2. With the above in mind, I fully acknowledge and agree that Swamp Battle OCR, Trinity Fitness, WW Motocross Ranch nor any officers, directors, volunteers, employees or agents hereinafter defined as "Swamp Battle", shall not be responsible or liable in any way for any accident or injury to myself, in connection with the Swamp Battle OCR. Further, I do hereby agree to indemnify and hold Swamp Battle harmless against and from any and all liabilities, damages, claims, suits, judgments and associated costs and expenses (including, without limitation, reasonable attorneysâ€™ fees) of whatsoever kind in connection with the workouts. Further, I make this agreement intending it to be binding upon on my heirs, agents, fiduciaries, successors and assigns. I waive, knowing and voluntarily, each and every claim or right of action I have now or may have in the future against Swamp Battle related to the Swamp Battle OCR.
3. I hereby state that I am in good health and have no restrictions relative to exercise or physical activity. If at anytime during the workouts I need emergency medical care and am not able to give express consent because of my physical or mental condition, I authorize emergency medical care decisions to be made on my behalf, and specifically release Swamp Battle, from any and all liability associated with said medical care decisions.
4. I have read carefully, agree to, and intend to be legally bound by all terms of this hold harmless, waiver of liability, and emergency medical care authorization.
I agree to the terms of this hold harmless waiver
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