LIABILITY WAIVER & RELEASE FORM - Dreamchasers Outdoor ...

Dreamchasers Outdoor Adventure Club, LLCMAMTHON DES SABLES: LIABILITY WAIVER & RELEASE FORMALL PARTICIPANTS IN THE I\,IARATHON DES SABLES ARE REQUIRED TO ASSUIIIE ALL RISK OF PARTICIPATION IN THEEVENT BY ACCEPTING & AGREEING TO THIS GENERAL RELEASE AGREEI\,1ENT.YOUR ENTRY TO MARATHON d6SABLES CONTAINSA LIMITATIONYOUR LEGAL RIGHTS - PLEASE READ lT CAREFULLYII wjsh lo enter and parlicipale in the llarathon des Sables, which commences on Ap l 6, 2011 . I agrce to understand the rules,conditions and regulations of the event and agree to fully comply wilh them. I also underctand thai said rules are subjectochange at any lime. Minor applicants (under 18 yearc of age) will nol be accepted to the race. I am aware that this stage race ise)dremely difficuh and polentially hazadous, even for highly{fained and experienced athletes under the mosl favomble conditionsand I atiest thal I am physically conditioned and have trained fof ihe evenl. The l\,4a6lhon des Sables is run over dimcult deserltefiain and extremes of temperature. I have been advised thal | gbgUbllqt padicipaie in this event unlessr a) | am in excellenlphysical condiiion; b) have previously run a half marathon disiance race of have demonstfated sufficient trail experience; c) haverecently undergone a complete physical examinalion, including a stress electrocardiogram, by a licensed physician. I have alsobeen advised that I may be exposed to physical and/or psychological injury from a number of nalural factors, includingsandslorms, deb s on th€ cource, lack of waler, thoms, rccks, steep mounlain passes, feral animals and/or rcpliles among olherthings, and to the hazards of official event vehicular traffic, and to those olhef hazafds attendant upon running across or alongpaths, dunes and roadways including, among other things, lhe fact that I may become injurcd of incapacilaieda location whereil is diffjculi or perhaps impossible fof the event's management to provide medical aid in time to avoid pemanent physical injury oteven death. Knowing these facts, I neverlheless, in consid€ration of accepling this entry, hereby for mysell my heirs, executorsand administratoE, waive, rclease, and discharge Dreamchasers Ouldoor Adventure Club, LLC, Atlanlide OrganisaiionIntemational, Ljsa & Gerald Batchen, Cimbaly, any ofticial sponsor entily and the officerc, direclors, shareholders, members,agents and employees of each, all medical and other personnel, whether paid or volunteer assisting with this running event, iheitrepresentatives, successors and assigns, frcm anyand all ghls, claims of liability for damage for any and allinju estomeo.mypropefty, or ior damag€ caused by me or by anyone else (including Acts of God), afising out of or in connection wilh myparticipation in this evenl. I further agree thal I will defend, indemnily and hold harmless Dreamchasers Outdoor Adventure ClubLLC, Atlantide Orgnaisalion Internationa!. Lisa & Gerald Batchen, Cimbaly and any official sponsor eniity and the ofticers,direclors, shafeholderc, members, agenis and employees of each, against all claims, demands and causes of action, includingcou( costs and attorneys' fees directly of indireclly arising frcm any action or olher proceeding broughi by or prosecuted for mybenefit contEry to the Agreemenl. This release extends to all claims of every kind and nature whatsoever, whether known orunknown. I understand that entry fees are necessary to meet lhe cost of preparation, months in advance of the run, and that iflherun is canceled because of safety, drought, slorm, acts of God, or other circumstances beyond ihe conlrol of race management,the eniryfee may nol be refunded. I have been advised to purchase Trip Cancellalion lnsurance forthis, and other, teasons.The undersigned grants his/her irrevocable permission to DREAMCHASERS OUTDOOR ADVENTURE CLUB, LLC,ATLANTIDE ORGANISATION INTERNATIONAL and any media outlet covering this yea/s event, and the sponsors,authoaized agents, contractors and representatives of each, to use the under-signed name and likeness in anyphotographs, video footage, motion pictures, recordings or any other records of the undersigned's participation in thisevent, forany purpose and at any time,I exprcssly acknowledge that I have reacl this entry form in its entirety and that I undorstand and agree to be bound by theterms and conditions set forth herein. Furthermore, I acknowledge that I have read the refuncl/cancellation policyandhav€ been advisecl by Dreamchasers that it is in my besl interest to purchase a Trip Cancellation Insurance policy.I declare under penalty of perjury thatthe foregoing is true and correct.NAMEI(please print legibly)SIGNATUREiDATE:PO Box 1200/47 South Main StreetDriggs, lD 83422 USAwww.DreamChaserEvents.comIel: 2O8.747 .2077Fax:520.203.0233

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