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Smyrna Splash & Dash

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Open to ages 6 - 15.

$32.80  incl. $2.80 Fee


Waiver

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 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.  
WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY 
AGREEMENT – USA TRIATHLON MEMBERSHIP 
IN CONSIDERATION of becoming a member of USA Triathlon (“USAT”), 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 (this “Agreement”).  
1. Physical Health. I hereby represent that (i) I am in good health and in proper physical condition to 
participate in USAT sanctioned events (an “Event” or “Events”); and (ii) I am not under the influence 
of alcohol or any illicit or prescription drugs, and will not be under any such influence at the time of the 
Event, which would in any way impair my ability to safely participate in the Event. I also agree, 
represent and warrant that I will not participate in any Event if I (i) experience fever, cough or 
shortness of breath symptoms or symptoms of a communicable disease, such as but not limited to 
COVID-19, or (ii) have a suspected or diagnosed/confirmed case of a communicable disease, such 
as but not limited to COVID-19. I agree that it is my sole responsibility to determine whether I am 
sufficiently fit and healthy enough to participate in the Event.  
2. Compliance with Rules, Regulations, Codes, Policies and Procedures.  
a. I hereby represent that I have read and agree to strictly comply with the USAT Code of Conduct 
and all other USAT Policies, Codes and Procedures applicable to me, including but not limited to 
USAT’s Minor Athlete Abuse and Prevention Policies and the Code and policies of the U.S. 
Center for SafeSport, found here.   
b. I hereby represent that I have read and agree to strictly comply with the rules and regulations 
established for any Event, including but not limited to USAT’s “USA Triathlon Multisport 
Competition Rules” and the Guide to Prohibited Substances and Prohibited Methods of Doping 
adopted by the United States Anti-Doping Agency (“USADA”). I understand and agree that the 
World Triathlon Anti-Doping Rules and the USADA Protocol for Olympic and Paralympic 
Movement Testing (“USADA Protocol”) and all other policies and rules adopted by the World 
Triathlon, USADA, and the United States Olympic and Paralympic Committee (the “USOPC”) 
apply to me and that it is my responsibility to comply with those rules. I agree to submit to drug 
testing at any time and understand that the use of methods or substances prohibited by the 
applicable anti-doping rules would make me subject to penalties including, but not limited to, 
disqualification and suspension. If it is determined that I may have committed a doping violation, I 
agree to submit to the results management authority and processes of USADA, including 
arbitration under the USADA protocol, or to the results management authority of World Triathlon 
and/or USA Triathlon, if applicable, or referred by USADA.  
c. I also accept sole responsibility for my own conduct and actions while participating in any Event, 
and the condition and adequacy of my equipment and I agree and acknowledge that USAT, the 
race director and/or Event organizer may deny or revoke my entry to any Event or disqualify me if 
I am in breach of this section. I agree that USAT, the race director and/or Event organizer is not 
responsible for any costs incurred or damages suffered by me in such event. 

January 2026 
3. Authorization to Collect and Use Date; Release of Image.  
a. While being a member of USAT, you may be asked by USAT to provide personal information 
about yourself (such as name, contact information, age, gender and other demographic 
information). I understand and agree that USAT will collect, use and share such information in 
accordance with USAT’s Privacy Policy. USAT may share such information with race directors 
operating USAT sanctioned races, as necessary for race registration purposes. I hereby grant 
USAT, the race director(s) and/or Event organizer(s) permission to collect, capture, record and 
store the data, and grant to each of them a license to use the data for the following purposes: (i) 
the promotion of any multisport events; (ii) the promotion or exhibition of any Event; (iii) any non
commercial use; and/or (iv) transmitting my race images to me for commercial purposes. 
b. I irrevocably grant to USAT and its designees, agents, assigns, 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, 
perform, display, broadcast, acquire, activate, retain, and transmit my name, nickname, initials, 
voice, biographical data, statements, performance, video and/or film portrayals, photograph 
and/or electronic likeness and image of me in connection with (i) the promotion of any multisport 
events; (ii) the promotion or exhibition of any Event; (iii) any non-commercial use; and/or (iv) 
transmitting my race images to me for commercial purposes. I understand that USAT may not use 
my image in a manner that creates or implies an endorsement of a commercial product or service 
without my prior consent and represent and warrant that I have the right to grant such consent on 
behalf of myself.  
4. Assumption of Risk. I understand and acknowledge the physical and mental rigors associated with 
triathlon, duathlon, or other multi-sport events, and realize that running, bicycling, swimming and 
other portions of such 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 (including but not limited 
to communicable 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 organizers of Events; and other undefined risks and dangers 
which may not be readily foreseeable or are presently unknown, including any unknown claims under 
Section 1542 of the California Civil Code (collectively, “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 any Event, or the acts, inaction or negligence of the Released Parties defined below, 
and I hereby expressly and voluntarily choose to assume all such Risks and responsibility for any 
damages, liabilities, losses or expenses which I incur as a result of my participation in any Event.  
5. 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 costs associated with such medical care and to indemnify and hold harmless 
the Released Parties (as defined below) from any costs or claims arising from such medical care.  
6. Release from Liability. I hereby Release, Waive and Covenant Not to Sue, and further agree to 
Indemnify, Defend and Hold Harmless the following parties: World Triathlon, USAT, Event owners, 
organizers and promoters (including any contractors), race directors (including any contractors), other 
participants in any Event, sponsors, advertisers, host cities, the USOPC, Local Organizing 

January 2026 
Committees, venue and/or property owners upon which any Event takes place, Law Enforcement 
Agencies and other Public Entities providing support for an 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”), with respect 
to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court 
costs and reasonable attorneys' fees) of any kind or nature (“Liability”) which may arise out of, result 
from, or relate to (i) my participation in an Event, and/or (ii) any INJURY, ILLNESS OR DEATH 
(including but not limited to INJURY, ILLNESS OR DEATH resulting from a communicable disease, 
such as COVID-19) arising out of or related to any Event, and, with respect to (i) and (ii), 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.  
7. Arbitration. In the 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 jurisdiction.  
8. Other. 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. 
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.  
I am the parent or legal guardian of the above-named participant. On behalf of the participant, I 
hereby irrevocably and unconditionally (1) agree to all of the terms of this Agreement, (2) 
authorize USAT or any of its designees to arrange or any necessary medical treatment for the 
participant and (3) agree personally to comply with all applicable USAT policies, rules and 
regulations, including but not limited to USAT’s Code of Conduct. I also, for myself and on behalf of 
my heirs, estate, insurers, successors and assigns, hereby fully and forever release and discharge the 
Released Parties (defined above) from any and all claims or causes of action that I may have for 
damages for personal or bodily injury, disability, death, loss or damage to person or property, whether 
arising from the negligence of any or all of the Released Parties, or otherwise, to the fullest extent 
permitted by law. 

January 2026 
By signing below: 
• I agree to sign this document electronically.  
• I understand that my electronic signature is legally binding, just like a handwritten 
signature, and shows my intent to agree to the terms of the document. 
• I agree that the participant is joining USA triathlon, is receiving a ONE-YEAR KIDS’ 
MEMBERSHIP and may receive emails and other correspondence from USA Triathlon.  


Waiver

I understand and acknowledge that I am legally agreeing to the statements in the following paragraphs of this WAIVER AND INDEMNITY AGREEMENT by affixing my signature below and that these statements are being accepted by the Mid TN Multisport Inc in consideration for allowing me to participate or volunteer at the Smyrna Splash & Dash; and I further understand and acknowledge that my statements are being relied upon by Mid TN Multisport, race sponsors, organizers, administrators, volunteers, and other parties defined below as “Released Parties.”1. I acknowledge that a triathlon, duathlon or other multi-sport race, workout or clinic (herein “event”) are extreme tests of a person’s physical or mental limits and carry with it the potential for death, serious injury or property damage. I acknowledge and agree that it is my responsibility to determine whether I am sufficiently fit and healthy enough to safely participate in an event, and I attest and certify that I am or will be sufficiently fit and physically trained to participate in an event, which I elect to enter. I have no physical or medical condition, which would endanger others or myself if I participate in any event, or would interfere with my ability to safely participate in any event. I understand the dangers associated with the consumption of alcohol or drugs before, during or after any event and I recognize that consumption of alcohol or drugs might impair my judgment and / or motor skills. I assume full responsibility for any injury, loss or damage associated with my consumption of alcohol or drugs.2. On behalf of myself, my executors, administrators, heirs, next of kin, successors, and assigns, and anyone else who might sue on my behalf, I hereby WAIVE, RELEASE and FOREVER DISCHARGE Mid TN Multisport Inc, all event sponsors, event producers, event staff, administrators, officials, contractors, vendors, organizers, volunteers, all other persons involved with any event, states, cities, and other governmental bodies and

locations in which an event or portions of an event may take place, and the officers, directors, employees, agents, insurers, other participants and representatives of all of the above (collectively “Released Parties”), from any and all claims, causes of action, damages, losses (economic and non-economic), and liabilities of every kind (collectively “Claims”), for death, personal injury or property damage, which may arise out of, result from, or relate to my participation in, or my traveling to or from, any Mid TN Multisport Inc affiliated event, including but not limited to any claims for theft, damage to any equipment, negligence, partial or permanent disability, Claims related to the provision of first aid, medical care, medical treatment or medical decisions (at an event site or elsewhere), and any claims for medical or hospital expenses.3. I acknowledge and ASSUME ALL OF THE RISKS and aspects of an event. I acknowledge that running, bicycling, swimming or other portions of events are inherently dangerous and I

understand that I will be participating in events at my own risk, that I am responsible for the risk or participation in these events, and that I am waiving and releasing my legal rights to sue for any injury or damages arising out of or resulting from my participation in an event. I further understand that any injury or damages incurred may be the result of negligence, omission, or carelessness by Released Parties.4. I FURTHER COVENANT and AGREE NOT TO SUE any of the Released Parties for any of the Claims that I have waived, released or discharged herein. I AGREE TO INDEMINIFY and HOLD HARMLESS the Released Parties from any and all expenses incurred, Claims made, or liabilities assessed against them, including but not limited to attorney’s fees and litigation expenses, arising out of or resulting from, directly or indirectly, in whole or in part, my breach of failure to abide by any part of this Waiver Agreement and my actions or inactions which may cause injury or damage to any other person.5. I

further agree that all disputes regarding the interpretation and scope of this Waiver and Indemnity Agreement shall be decided by the laws of the state of Tennessee and will be subject to mandatory arbitration conducted by an arbitrator chosen by the Released Party. I also agree that if I initiate such arbitration proceeding and the arbitrator renders a decision in favor of the Released Party, I will be liable for all costs and attorney fees attributable to the arbitration.6. If any provision of this Waiver Agreement shall be unlawful, void or for any reason unenforceable, then that provision shall be deemed severable from this Waiver Agreement and shall not affect the validity and enforceability of any remaining provisions.




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