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Welcome!

Please complete and submit this form to register for Eagle Mountain's Annual Turkey Trot.
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    Please list signifiant other and any dependents who will be attending.
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    Waiver:

     

    I acknowledge and fully understand that there is an inherent risk of serious injury, permanent disability, or death in THE activity that might result from my own actions, inactions, or negligence; the actions, inaction, or negligence of others; or the conditions of others the premises OR EQUIPMENT. I, for myself, and/or a parent, legal (court-appointed) guardian or custodian, knowingly and freely accept and assume all risks, both known and unknown, and AGREE TO RELEASE, DEFEND, INDEMNIFY, NOT SUE AND HOLD HARMLESS EAGLE MOUNTAIN CITY, ITS ELECTED OFFICIALS, OFFICERS, employees, affiliates, volunteers, vendors, equipment manufacturers, sponsors, agents, and other participants, from any claims, damages, (including medical expenses and attorneys’ fees), injuries ( including disabilities, paralysis, and death) and or damages to person or expenses arising out of, or resulting from my voluntary attendance/participation at THE ACTIVITY LISTED ABOVE, or the voluntary attendance/ participation of those for whom I have signed below

     

    IN THE EVENT THAT I OR MY DEPENDENT IS INJURED IN THE ABOVE ACTIVITY, I HEREBY GIVE MY PERMISSION TO EAGLE MOUNTAIN CITY OR ITS REPRESENTATIVE AT THE SCENE TO PROVIDE EMERGENCY MEDICAL TREATMENT BY ANY MEDICAL PERSONNEL, EMTS, PARAMEDICS, FIREFIGHTERS, NURSES, DOCTORS, OR DENTISTS DEEMED NECESSARY. I WILL NOTIFY THE MEDICAL PERSONNEL, IF ABLE, OF ANY SPECIAL MEDICAL NEED(S), INCLUDING BUT NOT LIMITED TO BLOOD TYPES, HEART CONDITIONS, ALLERGIES, OR SPECIAL MEDICINES THAT MIGHT AFFECT MY TREATMENT. I ALSO AUTHORIZE FOR DEPENDENT OR MYSELF TO BE TRANSPORTED BY AMBULANCE TO THE NEAREST MEDICAL FACILITY TO SECURE THE IMMEDIATE AND PROPER MEDICAL TREATMENT. I AGREE THAT I WILL BE THE PRIMARY PARTY FINANCIALLY RESPONSIBLE FOR THE PAYMENT OF ALL COSTS RELATED TO SUCH EMERGENCY TRANSPORT OR SUBSEQUENT MEDICAL TREATMENT.

     

    I ALSO GRANT FULL PERMISSION TO EAGLE MOUNTAIN CITY, SPONSORS OF THE EVENTS, ITS AGENTS, OR ASSIGNEES TO USE MY NAME, PHOTOGRAPHS, VIDEOTAPES, OR RECORDING OF THE ACTIVITY FOR WHICH DEPENDENT OR I AM REGISTERED FOR ANY PURPOSE WITH OBLIGATION OR LIABILITY.

     

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    I have read and agree to the Waiver.
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