FORT COLLINS TRACK CLUB

RELEASE OF LIABILITY AND AGREEMENT, AND MEDICAL RELEASE

The undersigned hereby agrees, warrants and covenants as follows:

1. The undersigned participant (or the undersigned parent or guardian of a participant under the age of 18 years), on behalf of such participant and such participant's personal representative and heirs, fully releases, discharges and waives any claim, demand or legal action that the participant and/or his parent or guardian may have, now or in the future, against the Fort Collins Track Club, its directors, officers, agents, employees, volunteers, or assistants (collectively referred to as " the FCTC") which may arise out of (i) any property damage to property owned by the participant or the participant's parent or guardian, or (ii) any personal injury, bodily injury, or death of participant while participating in the Fort Collins Track Club program, including, but not limited to practices, track meets, exhibitions, contests and any other associated activities ("Claim"). ("Personal injury" means, injury, other than bodily injury, including, but not limited to, injury arising out of libel, slander, or defamation of character. "Bodily injury" shall mean bodily injury, sickness, or disease.)

2. The participant (or the undersigned parent or guardian of a participant under the age of 18 years), on behalf of such participant and such participant's personal representative and heirs, agrees to indemnify and hold harmless FCTC from any loss or liability (including reasonable attorney's fees) on account of any Claim. Further, as to any participant under the age of 18 years, the undersigned parent or guardian of such participant also agrees to indemnify and hold harmless the FCTC from any loss or liability (including reasonable attorney's fees) on account of any Claim.

3. In the event of an injury to a participant who is under the age of 18 years, the undersigned parent's or guardian's gives the FCTC permission to administer first aid at their discretion and to seek necessary medical treatment in the event that, after reasonable effort, a parent or guardian of a participant cannot be reached.

The undersigned has fully read and understands this document and signs the same willingly. The undersigned acknowledges that this release and waiver is to be broadly interpreted so as to provide the greatest release of liability and indemnity as is permitted by the laws of the State of Colorado. If any portion of this document is held invalid, the remaining portions shall continue in full force and effect. The laws of the State of Colorado shall govern the interpretation and enforcement of this document.

 

__________________________________ Date: ____________
Participant (if over the age of 18 years)


__________________________________ Date: ____________
Parent/Guardian