Please complete the registration form below to be considered as a volunteer for this event.
You will receive a confirmation email if you are assigned as a volunteer.
Please enter your information into the fields below.
Required fields are marked with *.
If adding additional volunteers/athletes below, enter all player shirt sizes here (use the shorthand S, M, L, XL, 2X, 3X and separate each size with a comma).
Alternate Job Preferences
If you are bringing a group of friends or volunteers
but they are not registering through this system,
please advise how many:
The individual identified below submits and electronically signs this Omnibus Fort4Fitness Liability Waiver and Release ("Waiver and Release") as (a) a Participant (as defined below) in an event sponsored by Fort 4 Fitness, Inc. ("Fort4Fitness"); (b) a parent, legal guardian or attorney-in-fact of a participant in an event sponsored by Fort4Fitness; or (c) a participant in an event sponsored by Fort4Fitness and a parent, legal guardian or attorney-in-fact of a participant in an event sponsored by Fort4Fitness. This Waiver and Releases applies to and is binding upon the individual submitting this Waiver and Release in each applicable capacity listed above. For purposes of this Waiver and Release, the use of the term "Participant" shall mean the individual submitting and electronically signing this application in each applicable capacity listed above.
Participant understands the nature of the Event and the risks involved in participating in the Event (including training portions if applicable). Participant knows that bicycling, running and/or walking in a ride or road race and/or participating in associated training is a potentially hazardous activity. Participant understands that an individual should not participate unless medically able and sufficiently trained to do so. Participant agrees to abide by any decision of any Fort4Fitness official concerning an individual's ability to safely complete the Event.
Participant understands that while police protection will be provided only during the portions of the Fall Festival event held on September 24, 2016, there may still be automobile and other traffic on or near the course. Participant assumes all risks associated with Participant's voluntary participation in the Event, including, but not limited to, automobile and other traffic and other conditions of the road, falls, contact with other participants or volunteers, and the effects of the weather, including extreme temperatures and precipitation.
Participant gives permission to Fort4Fitness, its officers, directors, employees, race officials, police, fire, emergency and medical personnel supporting the Event to obtain and provide Participant medical assistance in the event of an emergency. This permission will include the administration of medicines, surgical treatment, X-ray examination or hospitalization as might be ordered by a licensed medical doctor or certified medical professional. Participant releases and discharges Fort4Fitness, its officers, directors, employees, volunteers, race officials, police, fire, emergency and medical personnel supporting the Event from any liability for any first aid rendered or treatment performed pursuant to this consent.
Participant irrevocably consents and authorizes Fort4Fitness, or anyone authorized by Fort4Fitness, to take, use, reproduce, transmit, display and publish, information, photographs, images or recordings containing Participant's name and biographical information, Event results, voice, image, likeness and distinctive appearance, gestures, signature and/or mannerisms ("Materials") in marketing materials in any form or medium now known or hereafter to be known, discovered or developed. This consent includes the right to create derivative works from such Materials and to use, reproduce, transmit, display and publish such derivative works.
Knowing these facts, for, and in consideration of, participation in the Event, Participant, for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenants not to sue and fully releases and discharges Fort4Fitness, the City of Fort Wayne, Allen County, The End Result Company LLC, Get Me Registered.com LLC, Event sponsors, Event participants, Event officials, Event suppliers, workers, volunteers, and any and all officers, directors, employees and other representatives of the foregoing, and any successors or assigns of the foregoing, and holds and waives them harmless from and against ANY AND ALL actions, claims, injuries, demands, liabilities, loss, damage, or expense, including, but not limited to death, personal injury, and property damage, whether foreseen or unforeseen, arising out of, or in the course of, Participant's participation in the Event.
To the extent this Waiver and Release is not enforceable with respect to the minor or other individual for whom Participant is the parent, legal guardian or attorney-in-fact, Participant agrees to indemnify Fort4Fitness, Inc., its officers, directors, employees, Event officials, the City of Fort Wayne, Allen County, police, fire, emergency and medical personnel supporting the Event, The End Result Company LLC, Get Me Registered.com LLC, Event sponsors, Event participants, Event suppliers, workers, volunteers, and any and all officers, directors, employees and other representatives of the foregoing, and any successors or assigns of the foregoing, from any and all damages, claims or liability they may suffer or incur as a result of said minor or other individual's participation in the Event, including but not limited to court costs and attorney fees.
Any participation in an Event is expressly conditioned upon Participant's agreement to this Waiver and Release and by signing or electronically submitting this entry form Participant understands and agrees with all terms of this Waiver and Release.
Participant has read, understood, and accepts the agreement above. Participant's submission of this form shall act as legal signature.
Please Sign Below
Your electronic signature is the online equivalent of your ink-on-paper signature,
and can be provided by typing your name where indicated.
The electronic signature will signify your understanding, acceptance, and authorization
to accept the conditions of this legal document, including the following statements:
- I have read, have understood, and do accept the agreement above.
- I understand that this is a legal document with effects that I approve and authorize.
- The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
- I am authorized to agree to the terms of this document on behalf of the registrant.
- If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.
You are encouraged to keep a copy of this agreement for your records.
This agreement was generated at 2:41:20 AM EDT on 7/23/2017.
Click here to print the agreement.