Registration

Parent/Guardian Name *

First Name

Last Name

Phone

(###)

###

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Participants Information *

First Name

Last Name

Release, Waiver and Indemnity *

In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the Target Acquired Training Development Program, I, for myself, my heirs, executors, administrators, successors, and assigns hereby release, waive, and forever discharge Target Acquired Training and all other associations, sanctioning bodies, and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, successors, and assigns of and from all claims, demands, damages, costs, expenses, actions, and causes of action, whether in law or equity, in respect of death, injury, loss, or damage to my person or property howsoever caused, arising or to arise by reason of my participation in the said event, whether as a spectator, participant, competitor, or otherwise; whether prior to, during, or subsequent to the event and notwithstanding that the same may have been contributed to or occasioned by the negligence of any of the aforesaid. I further hereby undertake to hold and save harmless and agree to indemnify all the aforesaid from and against all liability incurred by any or all of them arising as a result of, or in any way connected with, my participation in the said event. By submitting this entry, I acknowledge having read, understood, and agreed to the above waiver, release, and indemnity. I warrant that I am physically fit to participate in this event and agree to withdraw from the race if so requested by the designated medical officer.

Agree

Media Consent *

I hereby authorize any images or video footage taken of myself, in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the Athletics Ontario website, and to be used for media purposes including promotional presentations and marketing campaigns for Athletics Ontario. I also authorize any media material created by myself within, or for, Athletics Ontario over the course of my participation in any Target Acquired Training activity. I waive rights to privacy and compensation, which I may have in connection with such use of my name and likeness, including rights that may be created in connection with video production, editing, and promotion therewith.

Agree