Register For
Illinois Wilds

Hanna City, IL 61536

Registrant #1

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$40.00 $30.00 + $3.86 SignUp Fee

$40.00 $30.00 + $3.86 SignUp Fee

$40.00 $30.00 + $3.86 SignUp 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 WILDLIFE PRAIRIE PARK 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.**

WIAVER AND REALEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

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”).

1.       I hereby represent that (i) I am in good health and in proper physical condition to participate in the Event; and (ii) 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.

2.       I understand and acknowledge the mental and physical rigors associated with triathlon, duathlon, or multisport 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, 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 immediate control of the 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 party by my own actions or inactions, the actions or inactions of others participating in the 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.  

3.       I agree to be familiar and abide by the Rules and Regulations established for the Event.  I also accept sole responsibility for my own conduct and actions while participating in the Event, and the condition and adequacy of my equipment.  

4.       I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties:  Wildlife Prairie Park, the Event Organizers, Organizers and Promoters, Race Directors, Sponsors, Advertisers, Public Entities providing support for the Event, and each of their respective parent, subsidiary and affiliate 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 attorneys’ 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. 

PHOTO/VIDEO RELEASE FORM

I the participant or participant's guardian, hereby grant permission to Wildlife Prairie Park, the rights of my image in video or still, and the likeness and sound of my voice as recorded on audio or video.  I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears.  Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. Photographic, audio or video recordings may be used for ANY USE which may include but is not limited to:  presentations, courses, event promotion, Wildlife Prairie Park promotional materials, online/internet videos, media and news (press).

By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via internet or in public educational settings.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

By electronically signing this waiver, 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 rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executers, administrators, successors and assigns), acknowledge that I have singed 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 representation, statement 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 servable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.
I also acknowledge that I have completely read and fully understand the above photo/video release and agree to be bound thereby.  I hereby release any and all claims against any person or organization utilizing this material for educational or promotional purposes.
By electronically signing this waiver, I am providing parental consent (required if the participant is less than 18 years of age) as the Parent and/or Legal Guardian to the minor above, I hereby accept and agree to all terms and conditions of this Agreement on behalf of the minor in connection with the minor’s participation in the Event.  

 




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