Liability Release- MUST BE PRINTED AND SIGNED
Posted May 6, 2014

CENTRAL OREGON TRACK CLUB

Athletic/Volunteer Waiver / Release Form

IMPORTANT TO READ AND PRINT/SIGN FORM

In consideration of being permitted to participate in any way with any Central Oregon Track Club practice(s) and/or meet(s), I/we the undersigned:

1. Agrees and represents that I/WE understand the nature of track and field and that my son/daughter or I am qualified, in good health, and proper physical condition to participate. I also agree that if at any time I believe conditions or THEIR/MY health to be unsafe, I will discontinue THEIR/MY further participation in the meet or practice.

2. Fully understand that athletic activities involve risks of serious injury, permanent disability, paralysis, and death and social losses which might result not only from their actions or negligence, but the actions or negligence of others, the rules of play, or the condition of the meet site or any of the equipment used. There may be other risks not known or foreseeable at this time.

3. Agree that the parents or a legal guardian will inspect the facilities and equipment to insure proper safety for the minor participants. If anything is believed to be unsafe, a coach/parent or official should be notified immediately of such conditions and the participant will refuse to participate.

4. Each participant is to be properly insured and/or pay all medical costs in the event of an injury and in the case of emergency must provide a contact person for each minor participant. Furthermore assume all risks and accept personal responsibility for damages on account of injury, death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release.

5. Release, waive, and agree not to sue Central Oregon Track Club, USATF or the USATF Oregon Association, Bend La Pine School District, Summit High School, Pilot Butte Middle School and meet directors, staff or volunteers of the organizations, if applicable, owners and leasers of the meet sites, which are all released from demands, losses or damages on account of injury, death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release.

6.On behalf of the Minor, I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties: USA Track & Field, Inc., its Associations and Committees, EVENT ORGANIZER NAME, Inc., Event Directors and Promoters, Sponsors, Advertisers, Coaches and Officials; Venue 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 in any way to the Minor’s participation in the Event, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. I further agree that if, despite this Agreement, I, the Minor, or anyone on the Minor’s 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 Liabilities which any may be incurred as the result of such claim.

I hereby warrant that I am of legal age and authorized to enter into this Agreement on behalf of the Minor, that I have read this Agreement

7. If injury or illness occurs while competing in the meet or practice, I authorize emergency first aid, medical treatment, medication or surgery necessary by medical personnel.

8. I give my permission for the participants listed below to be used in any promotions. This includes pictures, interviews, television, and radio or film coverage during events without compensation to me.

9. This waiver / agreement shall be binding upon the heirs, executors, and assigns of all the undersigned.

10. I have read and fully understand all forms, rules, procedures and policy dealing Central Oregon Track Club.

 AFTER READING THE LIABILITY RELEASE FORM, PLEASE PRINT AND COMPLETE THE FOLLOWING PDF AND BRING TO FIRST PRACTICE:

COTC-liability_waiver.pdf