Arnold Registration Form

Name:*
Age:*
Date of Birth:*
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Gender:*
Address:*
Phone:*
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E-mail:*
Adult Supervisor Name:
Supervisor Contact # or Email:
Emergency Contact Name:*
Emergency Contact Phone:*
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Emergency Contact E-mail:*


By submission of this Athlete Registration, Media Release, Liability Waiver, and Code of Conduct statement, I, the undersigned, or my parent or legal guardian, evidence my desire to participate in the “ULTIMATE TEEN CHALLENGE”, (hereinafter “event”) subject to the following terms and conditions.

In consideration of my participation in said event and for other good and valuable consideration, I, or my parent or legal guardian agree, covenant and warrant as follows:

ATHLETIC ABILITY: I warrant and represent that I am in good physical health and condition, in the past twelve months I had a complete physical exam with a registered physician and am physically able to compete in the events, and know of no physical restriction whatsoever which would prohibit my participation in the event. The organizers of the event have also advised me that it would be in my best interest to consult my physician prior to my preparation for and participation in the event. I recognize and understand that the preparation and competition may necessitate strenuous physical activity and could possibly activate an unrecognized pre- existing cardiovascular disorder or other disorder that I may have, thereby resulting in serious or life-threatening physical harm to me. I warrant and represent to the organizers that I have prepared myself for the event that I have entered by practicing the same prior to my participation. The organizers of the event have my permission to have a physician treat me during my participation in the “Ultimate Teen Challenge” should the organizers determine it necessary to do so.

PHOTO & FILM WAIVER: I hereby grant full permission to the organizers of the event, their agents, employees, and representatives to use my name, voice, and/or picture or film in any print or broadcast media, including, but not limited to radio, telecast, advertising, promotion, web, internet, social media or other use in relation to the “Ultimate Teen Challenge”.

LIABILITY WAIVER: I, the undersigned participant, or my parent or legal guardian, hereby release and forever discharge the organizers of the “Ultimate Teen Challenge”, David Hawk, David G Hawk LLC, The Ultimate Teen Challenge, The organizers of the Ultimate Teen Challenge and the organizers of the Arnold Sports Festival and Expo, (hereinafter Releases) as well as Releases’ officers, directors, agents, employees, parent, sister or subsidiary corporations, heirs, executors, administrators, successors and assigns, from any and all claims, demands, damages, actions and causes of action of any kind or nature, arising in any way out of, in consequence of, or on account of my participation in the “Ultimate Teen Challenge”. It is further agreed that I or my parent or legal guardian, hereby agree to indemnify and hold harmless Releases, as well as Releases’ officers, directors, agents, employees, parent, sister or subsidiary corporations, heirs, executors, administrators, successors and assigns, from any and all actions or claims of whatsoever kind or nature which I, my representatives or assigns, or any third party may have, or at any time in the future have arising out of my participation in the “Ultimate Teen Challenge”.

CODE OF CONDUCT:


  • I will pay attention to the Promoter, Officials, Event Staff and coaches and be courteous of other participants who participate.

  • I will respect the event staff and officials and not publicly criticize them.

  • I will respect opponents and conduct myself in a sportsman-like manner at all times.

  • I will respect the room and equipment provided by the Association and the personal property of others.

  • I will respect the facilities provided and obey all rules governing their use.

  • I will refrain from use of abusive or offensive language or behavior.

  • I will play fairly and obey rules of the event and program at all times.

Required*
Electronic Signature (Type Full Name) of Athlete 18 years or older or by parent or legal guardian of participant:*
Parent or Guardian Name:
Parent or Guardian Address:
Today's Date:*
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