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 *.
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:
Please Read Carefully. I understand that my participation in the 2023 Pure Pactola swimming event as a race volunteer is potentially dangerous and carries the risk of injury or death. By my voluntary participation, I state that I am physically able to participate and do so voluntarily, assuming all possible risks of every nature, including the negligence of the event organizers. In consideration for being allowed to participate, I, on behalf of myself as well as my heirs, hereby expressly waive and entirely release any claim of any nature against the event organizer, Active Black Hills, LLC, its members and any other person or entity arising from my voluntary participation in this event, and expressly agree to hold these released parties entirely harmless from any demands, claims, suits or causes of action, including reasonable attorneys fees brought about in defense of the same.
I ACKNOWLEDGE THAT THIS IS A WAIVER OF LEGAL RIGHTS
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 6:27:04 PM EDT on 6/2/2023.
Click here to print the agreement.