application & waiver for: (please select) *iditasport ... · sanctioning organization, the promoter...

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Application & Waiver for: (please select) _____ *Iditasport Extreme _____ *Iditasport Impossible _____ *Iditasport Odyssey NOTICE: This application and waiver form is a contract with legal consequences. Please read it carefully before signing it. Racers must be at least age 18 years by the day of the event. This application is not transferable to any other race, or any subsequent race year. PLEASE PRINT Name:___________________________________ Race Category (please circle): Ski Foot Bike Address: _____________________________________________________ City: ___________________________ State: _______ Zip: ___________ Country:__________________________ Date of Birth: ________________ Sex: _____ Cell Phone Number:______________________ Email Address:__________________________________ Have a GPS locator: Y_ N_ Emergency Contact Name:___________________________ Phone: ______________ In consideration of the acceptance of my application for entry in the Iditasport, I hereby freely agree to make the following contractual representations and agreements. I fully realize the dangers of participating in a multi-sport event held in the Alaskan wilderness during winter conditions, and fully assume the risk associated with such participation,including but not limited to the following dangers: Hypothermia, frostbite, collision with pedestrians, vehicles, wildlife, and other racers and fixed or moving objects, dangers arising from surface hazards, equipment failure, inadequate safety equipment, weather conditions, and the possibility of serious physical and /or mental trauma and injury, including death, associated with winter athletic competition. I also acknowledge and assume the risk that I may become injured or incapacitated in a location where it is difficult or impossible for me to receive medical aid in time to avoid physical injury or even death. Knowing these facts, I, my heirs, executors, administrators, legal representatives, assigns and successors in interest (hereafter collectively "successors") hereby hold harmless and waive, release and the Iditasport Application Page 1

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  • Application & Waiver for: (please select)

    _____ *Iditasport Extreme

    _____ *Iditasport Impossible

    _____ *Iditasport Odyssey

    NOTICE: This application and waiver form is a contract with legal consequences. Please read it carefully before signing it.

    Racers must be at least age 18 years by the day of the event.

    This application is not transferable to any other race, or any subsequent race year.

    PLEASE PRINT

    Name:___________________________________ Race Category (please circle): Ski Foot Bike

    Address: _____________________________________________________

    City: ___________________________ State: _______ Zip: ___________

    Country:__________________________

    Date of Birth: ________________ Sex: _____

    Cell Phone Number:______________________

    Email Address:__________________________________ Have a GPS locator: Y_ N_

    Emergency Contact Name:___________________________ Phone: ______________ In consideration of the acceptance of my application for entry in the Iditasport, I hereby freely agree to make the following contractual representations and agreements. I fully realize the dangers of participating in a multi-sport event held in the Alaskan wilderness during winter conditions, and fully assume the risk associated with such participation,including but not limited to the following dangers: Hypothermia, frostbite, collision with pedestrians, vehicles, wildlife, and other racers and fixed or moving objects, dangers arising from surface hazards, equipment failure, inadequate safety equipment, weather conditions, and the possibility of serious physical and /or mental trauma and injury, including death, associated with winter athletic competition. I also acknowledge and assume the risk that I may become injured or incapacitated in a location where it is difficult or impossible for me to receive medical aid in time to avoid physical injury or even death.Knowing these facts, I, my heirs, executors, administrators, legal representatives, assigns and successors in interest (hereafter collectively "successors") hereby hold harmless and waive, release and the

    Iditasport Application Page 1

  • sanctioning organization, the promoter and any promoting organization(s) and their board of directors, property owners, law enforcement agencies, all public entities, special districts, and properties (and their respective agents, officials and employees) through or by which the event will be held from any and all rights and claims for any and all damages which may be sustained by my participation in or associated with the event, or travel to or return from the event. I understand the risks of winter sports such as biking, running, skiing and winter camping and I have carefully read, understand and voluntarily accept the terms of this waiver and release agreement. By signing below, I also agree that I have read through the Iditasport race rules located at: www.IditasportAlaska.com I agree it is my sole responsibility to be familiar with the race course, the rules of the sanctioning body, and the special regulations of the event. I understand and agree that the situations may arise during the race which may be beyond the immediate control of the race officials or organizers. I accept responsibility for the conditions and adequacy of my equipment and training. I have no physical or mental condition which, to my knowledge, would endanger myself or others if I participate in this event, or would interfere with my ability to participate in this event. I agree that it is at the sole discretion of the race directors to change the rules at any time in the interest of safety and sportsmanship or for any reason deemed appropriate by the Iditasport officials, and I agree to abide by those rules. I understand that the race officials may pull any participant out of the event in the interest of the community, law, safety, time, sportsmanship; due to suspicion of cheating, acts of nature or any reason deemed appropriate by the Iditasport officials. I agree, for myself and successors, that the above representations are contractually binding, and are not mere recitals, and that should I or any of my successors assert any claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjusted liable on such claims for willful and wanton negligence. This agreement may not be consent to another provision herein or as a consent to any subsequent waiver of modification.

    I understand that a fee of up to $500.00 will be charged to my credit card in the event of an evacuation (by chartered airplane and/or snowmachine). Any racer who is unable to complete the race will be disqualified and no refund will be given. I hereby grant permission for the free use of my name, mediaany photos/video, recordings or any other record of me for any purpose without limitation or compensation to the Iditasport race organization.

    By my signature below, I acknowledge that I have read this agreement, fully understand it & agree to its terms.

    ____________________________________________ DATE: _________________SIGNATURE OF ENTRANT

    Completing one of the accomplishments listed on our website /below would typically qualify an entrant for this years Iditasport; however, entry is not guaranteed. The race directors reserve the right to select entrants based on other important considerations, as well as due to the requirements of insurers, and other regulatory agencies.

    Officially finishing a winter race of 100 miles within the time allowed

    Officially finishing the Susitna 100

    Officially finishing the Arrowhead 135

    Iditasport Application Page 2

    http://www.IditasportAlaska.com

  • To help us with the selection process, please list past experience in cold weather, and/or long distance events stated above:

    Event Name Type & Distance :_________________________ Date: _________

    Event Name Type & Distance :__________________________Date: _________

    If you believe that you are capable of completing the Iditasport, but do not qualify according to our standards, please send a resume of your accomplishments, training and preparation for this event. We strongly recommend that you enter a qualifying race before entering the Iditasport.

    Training completed: mental preparation, winter camping, completed & plannedmiles:

    __________________________________________ Date: __________

    __________________________________________ Date: __________

    __________________________________________________________

    __________________________________________________________

    Why do you feel we should accept you as an entrant in the Iditasport event?:

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    Iditasport Headquarters14020 Specking Avenue

    Anchorage, AK [email protected]

    (907) 351-8545

    Iditasport Application Page 3