Register For
CBSC Kids Splash, Spin & Dash

Cherry Hill, NJ 08034

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$25.00 + $2.50 SignUp Fee

Waiver

Waiver and Release from Liability and Indemnification Agreement!
Covered Bridge Swim Club Splash, Spin & Dash Kid Fun Triathlon
!
This Waiver and Release from Liability and Indemnification Agreement must be read and agreed to in
order to complete the Covered Bridge Swim Club (CBSC) Splash, Spin & Dash Kid Fun Triathlon
registration process. Registrations for minors must be made by a parent or legal guardian herein referred
to as “Guardian”. This Waiver and Release from Liability and Indemnification Agreement will pertain to all
children participating and parent(s) or legal guardian(s) that may participate with their children.
Hereinafter “Participants” shall refer to all children listed and included as registrants.! !
ON BEHALF OF MYSELF AND PARTICIPANT, I HEREBY RELEASE, WAIVE, AND DISCHARGE
Covered Bridge Swim Club, any and all participants, operators, owners, contractors and lessees of the
premises used to conduct the event, their officers, board members, commissioners, officials, employees,
agents, volunteers, local and state police, and all municipalities including any and all of their agents,
employees, assigns, or anyone acting for or on their behalf, all herein referred to as “Releasees”, from
any and all claims, causes of action or liability for death, personal injury or property damage of any kind or
nature whatsoever arising out of or in the course of training for or participating in the CBSC Splash, Spin
& Dash Kid Fun Triathlon or related events even though that liability may arise out of negligence or
carelessness of one of the Releasees. This release and waiver extends to all claims of every kind or
nature whatsoever, foreseen or unforeseen, known or unknown.! !
I HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of
them from any loss, liability, damage, or cost they may incur due to the presence of the Participant in any
way participating, competing, officiating, observing, working for, or for any purpose participating in the
event and whether caused by the negligence of the Releasees or otherwise.! !
I HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH, OR
PROPERTY DAMAGE due to the negligence of the Releasees or otherwise while participating in the
CBSC Splash, Spin & Dash Kid Fun Triathlon or related events.! !
I EXPRESSLY ACKNOWLEDGE AND AGREE that running, biking, swimming or other similar physical
activities can be potentially hazardous for both me and my child. I have full knowledge of and assume any
and all other risks associated with participating in this event including, but not limited to: slips, trips, falls,
contact with other participants, the effects of weather and the conditions of the route, including high heat
and/or humidity, illness, personal injury, and death; and all such risks are known, understood and
accepted. Furthermore, I expressly agree that the foregoing release, waiver, and indemnity agreement is
intended to be as broad and inclusive as permitted by the laws of New Jersey.! !
I HAVE READ AND VOLUNTARILY ACCEPT THE RELEASE AND WAIVER OF LIABILITY AND
INDEMNIFICATION AGREEMENT, and further agree that no oral representations, statements or
inducement apart from the forgoing written agreement have been made.!
I understand that the CBSC Splash, Spin & Dash Kid Fun Triathlon is relying on these representations
and in consideration of the CBSC Splash, Spin & Dash Kid Fun Triathlon accepting my child’s entry, I
hereby for myself and for my child, our heirs, executors, administrators, personal representatives,
successors and assigns, or anyone else who might claim on my behalf, covenant not to sue, and I waive,
release and discharge any and all Releasees.! !
I grant full permission to any and all of the foregoing to free use of my child’s name or my name and use
of any photographs, motion pictures, recordings, or any other record of the event for any legitimate
purpose, including commercial advertising.

In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right 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 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 also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.

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 my physical condition has been verified by a licensed Medical Doctor. 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 waiver.




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