CAMERON

 ULTRA-­‐TRAIL  2018  
(INDEMNITY  FORM)  
 
 
WAIVER  OF  LIABILITY,  ASSUMPTION  OF  RISKS,  AND  INDEMNITY  
AGREEMENT  
 
WARNING:  READ  THIS  DOCUMENT  CAREFULLY  AND  UNDERSTAND  IT  BEFORE  
SIGNING  IT  
 
I   acknowledge   that   participation   in   the   sport   of   running,   including   my   participation   in  
the  CAMERON  ULTRA-­‐TRAIL  2018  (“the   event”),   may   result   in   personal   injury   to   myself  
due   to   the   endurance   nature   of   the   sport   and   the   inherent   risks   associated   with   running,  
especially   on   jungle   section,   nature   obstacles,   public   roads   or   pathways   and   in   varying  
weather  conditions.  I  fully  accept  these  risks.  
 
In  consideration  of  my  participation  in  the  event,  I  hereby  release  organizer,  its  members  
and  volunteers  from  all  claims  including  any  causes  of  action  resulting  from  any  personal  
injury,  loss,  illness  or  death  I  might  suffer  from  participation  in  the  event.  
 
I  have  read  the  previous  paragraphs  and  I  know,  understand,  and  appreciate  these  and  
other   risks   that   are   inherent   in   the   event.   I   hereby   assert   that   my   participation   is  
voluntary  and  that  I  knowingly  assume  all  such  risks.  
 
 
Signature     :    ____________________________                                                                                                      BIB#  
Participant  Name    :  ____________________________  
Date       :  ____________________________  
 
 
(For  official  use  only)  
 
Identification  Check:                                          Mandatory  Item  Check:  
 
 
 
 
 
 
 
 
 
 
*  PLEASE  KEEP  THIS  VOUCHER  FOR  CULTRA  TEA  PARTY  ENTRY  *  
 -­‐  Valid  only  with  official  stamp  -­‐