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The GREAT …Run…Bike…Run for the Boys & Girls Club
In Memory of Tim Richards,
Club Founder

http://www.bgcncma.org

 

Sunday June 5th, 2011
Boys and Girls Club, 365 Lindell Avenue, Leominster, MA


Race Day Schedule:
8:00 am – Registration, Body Marking & Packet Pickup
9:00 am – Open Entry, Kids & Family Relay Race
10:00 am – Adult, Teen & Any Relay Team Race

 

Race Category:

Adult, Teen & Any Relay Team Race – Race for experienced multisport athletes, teens and ANY relay team. 
All entrants must be at least 13 years of age.  Run 2.1 Miles, Bike 9 Miles, Run 2.8 miles.  

 

Open Entry, Kids & Family Relay Race – This is the Open Entry Race where Mom’s and Dad’s do the race with their kids and the Race for kids between the ages of 8 and 12 and any Family or kid relay team.
Run .7 Miles, Bike 4 Miles, Run .7 miles.  

WHEN YOU FINISH FILLING IN THE FORM BELOW... CLICK THE "Send Email" BUTTON TO REACH THE RUN BIKE RUN REGISTRATION "PAYMENT PAGE!"



#1 Your First & Last Name
Your Email Address
Phone
Date Of Birth
Adult , Teen &Any Relay Team Race
Male (M) Female (F)
Open Enrty Kids & Family Relay Race
Male (M) Female (F)
Emergency Contact
Emergency Phone
Shirt size xs,s,m,l,xl,xxl
#2 Your First & Last Name
Your Email Address
Phone
Date Of Birth  
Adult , Teen &Any Relay Team Race
Male (M) Female (F)
Open Enrty Kids & Family Relay Race
Male (M) Female (F)
Emergency Contact
Emergency Phone
Shirt size xs,s,m,l,xl,xxl
#3 Your First & Last Name
Your Email Address
Phone
Date Of Birth  
Adult , Teen &Any Relay Team Race
Male (M) Female (F)
Open Enrty Kids & Family Relay Race
Male (M) Female (F)
Emergency Contact
Emergency Phone
Shirt size xs,s,m,l,xl,xxl
I am 18 or older Name #1 yes/no
I am 18 or older Name #2 yes/no
I am 18 or older Name #3 yes/no
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By submitting this form You agree to the Waiver and Release Below:

Waiver and Release:

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

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 physical and mental rigors associated with duatholon, or other multi-sport events, and realize that running and bicycling 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, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, 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 Event Organizers; and other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers (“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 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 with and abide by the Rules and Regulations established for the Event, and the Guide to Prohibited Substances and Prohibited Methods of Doping adopted by the United States Anti-Doping Agency. 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: the Event Organizers and Promoters, Race Directors, Sponsors, Advertisers, Host Cities, Local Organizing Committees, Venues and Property Owners upon which the Event takes place, Law Enforcement Agencies and other Public Entities providing support for the 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” 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.

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, 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. Policies Race Fee Refunds - refunds at the request of Duatholete registered for a race are not allowed unless we view the circumstances as extenuating. Registration changes - changes in registration classifications will only be allowed if requested at least 2-weeks prior to race date. Race entry exchanges - exchanges or transfers of race entry to other non-registered athletes are not permitted..

*Weather Policy - races are rain or shine unless we determine that race conditions are dangerous. This will be based on a prudent decision made on race weekend. If the race is cancelled there will be no refunds. This position is consistent with USAT recommendations and with the protocol of sharing the risks associated with the sport of triathlon. In the event of inclement weather, Acts of God, or unforeseen circumstances, we reserve the right to alter, cancel or eliminate any/all portions of the race. Each athlete must accept any such risk of their entry fee paid including other amenities paid for such as t-shirts, insurance, and online administrative fees. All fees collected are used to develop and produce the event, including all race supplies, staffing, and administration. Registrant Limits - We will most likely put a cap or limit on the number of racers allowed for each race. This determination is based on limitations and policies associated with Police guidelines, Park rules and road controls. Having both a safe and fun race is paramount to who we are. Authorization to use your picture and feedback - any pictures captured of you on race weekend, as well as information that you provide to race management may be used for distribution, promotion and publication purposes. Mailing Race Items - Race numbers, timing chips or any race materials, including goodie bags or awards will not be mailed for any reason. Winners must be present on race day to receive awards. *Management reserves the right to reject or accept a race entry for any reason. By signing up for any race, you acknowledge that you have read and agree to the policies listed on this page.

 

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