Register For
YMCA Kids Triathlon

Doylestown, PA 18901

Registrant #1

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Format: mm/dd/yyyy
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Choose Your Event *

Open to ages 14 - 15.

$45.00 + $3.70 SignUp Fee

Open to ages 12 - 13.

$45.00 + $3.70 SignUp Fee

Open to ages 10 - 11.

$45.00 + $3.70 SignUp Fee

Open to ages 8 - 9.

$45.00 + $3.70 SignUp Fee

Open to ages 6 - 7.

$45.00 + $3.70 SignUp Fee

Open to ages 3 - 5.

$25.00 + $2.50 SignUp Fee


Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.

YMCA OF BUCKS AND HUNTERDON COUNTIES WAIVER, RELEASE, & INDEMNIFICATION AGREEMENT:

In consideration for being permitted to utilize the facilities, services, and programs of YMCA of Bucks and Hunterdon Counties for
any purpose, including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with
YMCA of Bucks and Hunterdon Counties, without respect to location, the undersigned, for himself or herself and any personal
representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon
entering or participating will inspect and carefully consider such premises and facilities or the affiliated program. It is further
warranted that such entry into YMCA of Bucks and Hunterdon Counties for observation or use of any facilities or equipment or
participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment thereon
and such affiliated programs have been inspected and carefully considered and that the undersigned finds and accepts same as
being safe and reasonably suited for the purpose of such observation, use, or participation.
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER YMCA OF BUCKS AND HUNTERDON COUNTIES FOR ANY PURPOSE,
INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM
AFFILIATED WITH YMCA OF BUCKS AND HUNTERDON COUNTY, WITHOUT RESPECT TO LOCATION, THE UNDERSIGNED HEREBY
AGREES TO THE FOLLOWING:
1) THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE YMCA of Bucks and
Hunterdon Counties, its directors, officers, employees, and agents (hereinafter referred to as “releases”) from all liability to the
undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands
therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence
of the releasees or otherwise while the undersigned is in, upon, or about the premises or any facilities or equipment therein, or
participating in any program affiliated with YMCA of Bucks and Hunterdon Counties, without respect to location.
2) THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releases and each of them from
any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about YMCA of Bucks County
premises or in any way observing or using any facilities or equipment of YMCA of Bucks and Hunterdon Counties or participating in
any program affiliated with YMCA of Bucks and Hunterdon Counties whether caused by the negligence of the releases or otherwise.
3) THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR PROPERTY
DAMAGE due to negligence of releases or otherwise while in, about, or upon the premises YMCA of Bucks and Hunterdon Counties
and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with YMCA of Bucks
and Hunterdon Counties.
THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be
as broad and inclusive as is permitted by the law of the state of Pennsylvania and that if any portion thereof is held invalid, it is
agreed that the balance shall, notwithstanding, continue in full legal force and effect.
4) THE UNDERSIGNED HEREBY GIVES THE YMCA THE RIGHT FOR VIDEO/PHOTOGRAPHS FOR PUBLICITY/ADVERTISING
PURPOSES: Himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and grants
permission for video/photographs taken by YMCA of Bucks And Hunterdon Counties staff and volunteers to be used for YMCA of
Bucks And Hunterdon Counties publicity and advertising purposes

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.




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