Athlete/Participant Info
2024 FORTIUS RACING TEAM -- RELEASE & WAIVER, USAT/U.S. MASTERS SWIMMING VERIFICATION & EMERGENCY CONTACT INFO
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First Name
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Last Name
DOB
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Address
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Email
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example@example.com
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USAT #
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USAT # Exp Date
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Upload USAT Membership Card
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U.S. Masters Swimming # (Enter NA if inapplicable)
Upload U.S. Masters Swimming Card (If applicable)
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Emergency Contact and/or Legal Guardian Info
Name
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First Name
Middle Name
Last Name
Relation:
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Spouse
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Street Address
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WAIVER AND RELEASE FROM LIABILITY
I attest that I am in good health, and that my physical condition has been verified by a licensed medical doctor to participate in endurance sports workouts, including but not limited to running, swimming, cycling, yoga, strength, etc. to be organized by USAT and non-USAT coaches on behalf of Fortius Coaching and/or Fortius Racing Team (hereinafter "Team Workouts"). I fully understand the risk inherent in sports endurance training and accept for myself, my heirs, and my personal representatives full responsibility for personal bodily injury, death, or property losses that may occur as a result of my participating in any Team Workouts. I hereby indemnify and save and hold harmless Gerardo Barrios, Fortius Coaching employees and coaches, Fortius Racing Team, independent contractors and any sponsor of Team Workouts, Fortius Coaching & Fortius Racing Team from any loss, liability, damage, and cost I may incur due to my participation in Team Workouts or any other events organized by Fortius Coaching and/or Fortius Racing Team (Team workouts and Other Events). I have read and voluntarily signed the waiver and release from liability, and further agree that no oral representations, statements, or inducements apart from the foregoing written agreement have been made. I also understand that during the Team Workouts, coaches may conduct various testing (sometimes blood) establishing heart rate, wattage, and pace zones to enhance and aid in making my training more efficient and effective. I understand and have been informed that these results have been calculated from test results that may not be 100% accurate and are, therefore, not meant to be substituted for common sense and sound judgment on my part. Although I have been instructed to follow these training zones I am under the understanding that if I am working out and feel any abnormality, physically or mentally, as a result of keeping in the instructed zone I am to stop and consult a physician immediately. By signing below, I agree to the above Contract and Release from Liability.
USAT/U.S. MASTERS SWIMMING MEMBERSHIP
Fortius Racing Team is a club/team sanctioned by USAT and/or U.S. Masters Swimming. I fully understand that by signing this waiver and release of liability, I agree to maintain an active USAT and/or U.S. Masters Swimming memberships, if applicable, at all times, in order to attend Team Workouts and Other Events. I further understand that failure to maintain an active USAT or U.S. Masters Swimming memberships may exclude me from certain benefits, including but not limited to product/events discounts and insurance coverage therein and that my participation in said Team Workouts and Other Events may be declined.
USAT Information Link:
https://www.usatriathlon.org/our-community/clubs#USA_Triathlon_s?Official_Club_Program_Benefits_cs86
PHOTO & VIDEO RELEASE
By signing below, I give permission to Fortius Coaching, Fortius Racing Team and any sponsors of the Fortius Workouts without limitation to use my image, voice, personal statements, and name in photography and videography and ANY training and promotional materials in any medium, including but not limited to Social Media (including but not limited to Facebook, Twitter, Instagram, etc.), Web Communications, publications and video. I understand that I will not receive any compensation for or any rights to these photographs or videos, and I release and fully discharge Fortius Coaching, Gerardo Barrios, Fortius Coaching employees/coaches, Fortius Racing Team, independent contractors, Fortius Coaching and Workouts sponsors from any liability for their use.
GARMIN/STRAVA & OTHER GPS APPS/SERVICES
By signing below, I also give permission to Fortius Coaching, Gerardo Barrios and Fortius Coaching employees/coaches to access information/data from Garmin, Strava and other similar Apps/Services for purposes of, among other things, creating coaching training plans, sharing it via email, Fortius Coaching website, social media, publications and video with other Fortius Coaching clients, Fortius Racing Team members, Coaching/Fortius Racing Team sponsors or other organizations in the normal course of busines. Additionally, I agree to respond to any invitation/request for access received from Fortius Coaching, Gerardo Barrios, as expeditiously as possible.
Athlete/Participant or Guardian Signature
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