GREATER KNOXVILLE TRIATHLON CLUB

MEMBERSHIP FORM

 

Single / 1 year	$20	Expires 12/31/2007
Single / 2 years	$30	Expires 12/31/2008
Family / 1 year	$25	Expires 12/31/2007
Family / 2 years	$40	Expires 12/31/2008

 Membership is calendar year
 

 

Make checks payable to GKTC and mail to:

Doug Dunn, Treasurer

1192 Winding Way Dr

Knoxville TN 37923

 

 

Applicant must also sign the attached release form.

Thank you for your support of the Greater Knoxville Triathlon Club!!!

Visit our website at www.knoxtri.com

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Must sign this release form.

Greater Knoxville Triathlon Club – Release and Hold Harmless

I, ________________________________, acknowledge that training for, racing in and/or, volunteering for running, biking, swimming and multi-sport events are potentially hazardous activities. I further acknowledge that running, biking, swimming and multi-sport events are extreme tests of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ALL CLUB FUNCTIONS. I certify that I am physically fit, have sufficiently trained for participation in these events and have not been advised otherwise by a qualified medical person. I acknowledge that my statements on this RELEASE AND HOLD HARMLESS are being accepted by the GREATER KNOXVILLE TRIATHLON CLUB permitting me to participate in organized club functions. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns a.) I AGREE to abide by the Competitive Rules adopted by USA Triathlon, including the Medical Control Rules, as they may be amended from time to time, and I acknowledge that my Club membership may be revoked or suspended for

violation of the competitive rules; b.) I WAIVE, RELEASE, ANDDISCHARGE from any and all claims or liabilities for an organized Club function, THE FOLLOWING PERSONS OR ENTITIES:

GREATER KNOXVILLE TRIATHLON CLUB, USA Triathlon chartered Clubs, Club sponsors,

volunteers, and the officers, directors, employees, representatives and agents of any of the above; c) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharges herein; and d.) I INDEMNIFY AND HOLD HARMLESS the persons or entries mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function.

I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER (if under 18 a parent or guardian must also sign below). I HAVE READ THIS DOCUMENT, AND I UNDERSTAND AND AGREE WITH ITS CONTENTS.

SIGNATURE ___________________________________ DATE ___________________

 

As the natural or legal guardian of the minor named above, I hereby bind myself, the minor and our executors, administrators, heirs, next of kin, successors and assigns to the terms of the foregoing RELEASE AND HOLD HARMLESS. I represent that I have the legal capacity and authority to act for and on behalf of the minor named above and I agree to indemnify and hold harmless the persons or entities mentioned in the foregoing RELEASE AND HOLD HARMLESS for any claims made or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf o the minor in the execution of the forgoing RELEASE AND HOLD HARMLESS or in the execution of the Consent.

PARENT/GUARDIAN SIGNATURE ______________________________ DATE _____________