Volunteer Sign-up Form

2019 Top of Zion National Parks Relay Acknowledgement, Waiver and Release

ALL ATHLETES AND VOLUNTEERS MUST READ AND SIGN. PLEASE READ CAREFULLY BEFORE SIGNING THIS ACKNOWLEDGMENT, WAIVER AND RELEASE FORM (AWR).

I the undersigned, hereby acknowledge that a running relay is an extreme test

of a persons physical and mental limits and it carries with it potential for death,

serious injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ANYWAY IN THE TOP OF ZION NATIONAL PARKS RELAY. I certify that I am physically fit, have sufficiently trained for participation in this event, and have not been advised otherwise by a qualified health professional. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I expressly acknowledge that it is my intent to take these actions: a) I AGREE to abide by the competitive rules adopted by TOP OF ZION RELAY, LLC. b) I AGREE that prior to participating in an event, I will inspect the race course, facilities, equipment, and areas to be used and if I believe any to be unsafe I will advise the person supervising the event, activity, facility, or area; c) I HEREBY WAIVE, RELEASE, AND DISCHARGE FROM ANY AND ALL CLAIMS, LOSSES, OR LIABILITIES (FOR DEATH, PERSONALLY INJURY, PARTIAL OR PERMANENT DISABILITY, PROPERTY DAMAGE, MEDICAL OR HOSPITAL BILLS, THEFT OR DAMAGES OF ANY KIND, INCLUDING ECONOMIC LOSSES AND/OR LOSS OR THEFT OF ANY ITEMS, WHICH ARISE OUT OF OR RELATE TO MY PARTICIPATION IN, OR MY TRAVELING TO AND FROM THE EVENT) THE FOLLOWING PERSONS OR ENTITIES: Top of Zion Relay, LLC. sponsors, race directors, employees, event owners, volunteers, all states, cities, counties, or localities in which events or segments of events are held, and the officers, directors, employees, representatives, volunteers, and agents of any of the above even if such claims, losses, or liabilities are caused by the negligent acts or omissions of the persons I am hereby releasing or are caused by the negligent acts of any other person or entity; d) I ACKNOWLEDGE that there will be traffic on the course route, and I ASSUME THE RISKS OF RUNNING AND PARTICIPATING IN THIS EVENT. I ALSO ASSUME ANY AND ALL OTHER RISKS associated with participating in this event including but not limited to falls, contact and/or crashes with other participants, effects of weather including heat and/or humidity, defective equipment, the condition of the roads and railroad crossings, water hazards, and any hazard that may be posed by spectators of volunteers all such risks being known and appreciated by me, and I further acknowledge that these risks include risks that may be the negligence of the persons or entities mentioned above (in paragraph C) or other persons or entities; e) I AGREE NOT TO SUE ANY OF THE PERSONS OR ENTITIES MENTIONED ABOVE (in Paragraph C) for any claims, losses, or liabilities that I have waived, released or discharged herein; f) I INDEMNIFY AND HOLD HARMLESS THE PERSONS AND ENTITIES MENTIONED ABOVE (in Paragraph C) for any and all claims made or liabilities assessed against them as a result of; i)my actions or inactions, ii) the actions, inactions or negligence of others including those parties hereby indemnified, iii) the conditions of the facilities, equipment, or areas where the event is being conducted, iv) the Competitive Rules or v) any other harm caused by an occurrence related to the Top of Zion Relay event; g) I GRANT PERMISSION for the use of my name and/or likeness relating to my participation in the Top of Zion Relay event, and I waive all right to any future compensation to which I may otherwise be entitled as a result of the use of my likeness, h) I UNDERSTAND and accept that my entry fee is non-refundable under any circumstance.

In Addition, each of us individually (and/or as parent and/or guardian of a named minor) do hereby release, remise, waive and forever discharge the State of Utah, the Utah Department of Transportation, the Utah Transportation Commission, the Utah Highway Patrol, and their officers, agents, and employees from all liability, claims, demands, actions or causes of action whatsoever arising out of or related to loss, or damages and/or injuries, including death, which may result from my participation in the Top of Zion Relay, involving roads within the Utah State Highway system.

Department of Transportation, the Utah Transportation Commission, the Utah Highway Patrol and their officers, agents and employees harmless from and against any claim or demand for loss, liability or damage, including claims for bodily injury, wrongful death or property damage, arising out of or resulting from: (a) any act or omission by the Permittee, its officers, agents, employees or any persons under Permittee’s control insofar as permitted by law concerning Permittee’s use or occupancy of the state road right -of-way; and (b) from and against all actions, suits, damages and claims brought or made by reasons of Permittee’s non-observance or non-performance of any of the terms of the Permit or the rules, regulations, ordinances and laws of the federal, state or local governments. 

I HEREBY AFFIRM THAT I AM (18) YEARS OF AGE OR OLDER. I HAVE READ THIS DOCUMENT AND UNDERSTAND AND AGREE TO ITS CONTENTS AS ATTESTED BY MY SIGNATURE AS OF THE DATE HERE BELOW.

Signature________________________________

Printed Name____________________________

Under Age Consent

NOTE: FOR PERSONS UNDER EIGHTEEN (18) YEARS OF AGE, A PARENT OR LEGAL GUARDIAN MUST SIGN THE ABOVE AWR AND COMPLETE THE CONSENT DOCUMENT ATTACHED HERETO.

The undersigned (parent/guardian) the parent and natural or legal guardian of (minors name) hereby acknowledges that he or she has executed the foregoing AWR for and on behalf of the minor named herein. As the natural or legal guardian of such a minor, I hereby bind myself, the minor and our executors, administrators, heirs, next of kin, successors and assigns to the terms of the foregoing AWR. I represent that I have the legal capacity and authority to act for and on the behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities mentioned in the foregoing AWR for any claims made of liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on the behalf of the minor in the execution of the foregoing AWR or in the execution of this Consent.

I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility (Medical Provider) to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to the Top of Zion National Parks Relay event. I authorize such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve such injuries. I consent to the administration of anesthesia as deemed advisable during the course of treatment. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume and such risk for and on behalf of myself and said minor. I acknowledge that no warranty is being made as to the results of any medical treatment.

Signature________________________________

Printed Name_____________________________