Tempe Tri Club

Tempe Tri Club

Membership Application & Release
New memberMembership renewal
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Secondary Phone Number
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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact information

NamePhone Number
USAT # (if applicable)
USA Triathlon membership is not require but is recommended.
Training level

BeginnerIntermediateAdvanced
Sex

FemaleMaleNon binary
Occupation
Age
Annual Membership Dues (12 months from date of sign up)

Adult (over 18) initial sign-up and renewal - $60 ($62 on venmo)

Adult (over 18) family member add on - $40 ($42 on venmo)

Minor (under 18) with paying adult - $40 ($42 on venmo)
Amount paid
Have you received any of the following?

T-shirtSocksBothNone
What is your t shirt size (unisex fit)?

XSSMLXLXXL
WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE USA TRIATHLON, TEMPE TRI CLUB (TTC) AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT. 1. IN CONSIDERATION of USA Triathlon (“USAT”) allowing me to participate in any Tempe Tri Club. LLC. (TTC) training event (the “Event” or “Events”) as an associate of TTC; I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors, and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk, and Indemnity Agreement (the “Agreement”).2. I hereby represent that I am in good health and in proper physical condition to participate in the Event; and I am not under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to safely participate in the Event. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event.3. Compliance with Codes. Policies and Procedures of USAT. I hereby represent that I have read and agree to strictly comply with the USAT Code of Conduct and all other USAT Policies and Procedures applicable to me, including but not limited to the policies of the U.S. Center for SafeSport, found at https://www.teamusa.orq/USATriathlon/USAT-for-Me/Athlete-Resources. 4. I agree to be familiar with and to abide by the Rules and Regulations established for the training Event, including but not limited to the Competitive Rules adopted by USAT and the Guide to Prohibited Substances and Prohibited Methods of Doping adopted by the United States Anti-Doping Agency. I also accept sole responsibility for my own conduct and actions while participating in the training Event, and the condition and adequacy of my equipment.5. I understand and acknowledge the physical and mental rigors associated with triathlon, duathlon, or other multisport training events, and realize that running, bicycling, swimming, strength training and other portions of such training Events are inherently dangerous and represent an extreme test of a person’s physical and mental limits. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, sickness and disease, permanent disability, paralysis and loss of life; loss of or damage to equipment/property; exposure to extreme conditions and circumstances; accidents, contact or collision with other participants, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the training Event Organizers; and other undefined risks and dangers which may not be readily foreseeable or are presently unknown (“Risks”). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the training Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses, or expenses which I incur as a result of my participation in the Event. 6. COVID•19 ASSUMPTION OF RISK: I acknowledge and understand that the World Health Organization has declared COVID-19 a worldwide pandemic. COVID-19 is extremely contagious and spreads mainly from person-toperson contact Based on currently available information and clinical expertise, older adults and people of any age who have serious underlying medical condition may have a higher risk for severe illness from COVID-19. There have been recommended guidelines and preventive measures put in place to reduce the spread of COVD19; however, the Released Parties (as defined below) CANNOT GUARANTEE that I will not become exposed to or infected with COVID-19. Furthermore, from Events could increase my risk of contracting COVID-19. By signing this Agreement, I acknowledge the extremely contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected with COVID-19 from the Event, and that such exposure or infection may involve the RISK OF SERIOUS INJURY, ILLNESS, PERMANENT DISABILITY AND/OR DEATH. I understand that the risk of becoming exposed to or infected with COVID-19 by my participation in the Events may result from the anions, omissions, or negligence of others and/or myself, including, but not limited to, the Released Parties (as defined below). I hereby expressly assume all such risks and dangers whether presently known or unknown.7. Consent to Medical Care. I hereby consent to treatment in the event of an emergency or other incident in which, in the reasonable judgment of on-site and other personnel, I require medical care. I further agree to pay all cost associated with such medical care and to indemnify and hold harmless the Released Parties (as defined below) from any case or claims arising from such medical care.8. Release of Image: I irrevocably grant to USAT, TTC and their designees, agent, assigns, sponsors, partners and licensees (with no obligation to compensate me) the right and license, throughout the world, in any and all forms of media currently existing or hereafter created, to use, reproduce, adapt, publicly distribute, preform, display, broadcast, acquire, cavate, retain, and transmit my name, nickname, initials, autograph, signature, voice, biographical data, statements, performance, video and/or film portrayals, photograph and/or electronic likeness and image of me in connection (i) the promotion of the sports of triathlon and duathlon; (ii) the promotion or exhibition of one or more Events sanctioned or organized by USAT and or TTC; and/or (iii) any promotional use.9. I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: USAT, TTC the training Event leaders, Organizers and, Sponsors, Advertisers, Host Cities, Local Organizing Committees, Venues and Property Owners upon which the training Event takes place, Law Enforcement Agencies and other Public Entities providing support for the training Event, and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the “Released Parties” or “Event Organizers”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorney’s fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties. I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend, and hold harmless each of the Released Parties from any such Liability which any may be incurred as the result of such claim.10. Authorization to Collect and Use Data. While participating in the. Event, I may provide to Event Organizers information such as my name, contact information, age, gender, and other demographic, physical, physiological, or identifying characteristics specifically requested from me. My participation in the Event is voluntary. By participating in the Event, and giving such data to the Event Organizers, I hereby grant the Event Organizers, or any of them, permission to collect, capture, record and store the data, and grant to each of the Event Organizers a license to use the data for any purposes whosoever11. Arbitration. In event of a dispute between me and any of the Released Parties, such dispute shall be settled by arbitration administered by the Court of Arbitration for Sport. The hearing shall be conducted in Colorado Springs, Colorado, unless both parties’ consent to a different location. The decision of the arbitrator shall be final and binding upon all parties, and judgment upon the award rendered pursuant to such arbitration may be entered in any court of competent jurisdiction12. I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.13. Wearing of club clothing: Expired or outdated clothing is recommended not to be worn in public. The current club clothing is recommended to be worn at all events, meetings, and workouts. It would be preferred that club and neutral clothing be worn versus wearing of club expired or outdated clothing.*

First NameLast Name
Birthdate*
Today's date*
The parent and natural guardian or legal guardian of (minor's name):
Parental Consent (required if the participant is less than 18 years of age): As the Parent and/or Legal Guardian to the minor identified above, I hereby accept and agree to all of the terms and conditions of this Agreement on behalf of the minor in connection with the minor’s participation in the Event(s). If, despite this Agreement, I, or anyone on the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities which may be incurred as the result of such claim. Parent / Guardian, by typing your name and submitting this form, you are agreeing to the above terms and conditions.Name

First NameLast Name
Birthdate
Today's date
Relationship to minor
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