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Waiver (electronic) VermontCrossCamp Summer 2021

This Agreement is Made Between
EuroCrossAcademy, Inc. and participants:

Terms
I acknowledge that training for athletic events is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, conditioning, equipment, vehicular traffic, Covid-19, actions of other people, including myself. These risks are not only inherent to athletes, but are also present for others. I hereby assume all of the risks of participating in training and for any competitions. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. I certify that I am physically fit, have sufficiently trained for participation in events and have not been advised otherwise by a qualified medical person.

Health and safety of riders, coaches, and community is ECA's number one priority. I hereby acknowledge that I will be fully vaccinated against COVID-19 by the start of any camp, except with an approved medical or religious exemption. Fully vaccinated means that two weeks have passed since a person received the final dose of their vaccine. In addition, I hereby agree to all campus/county/state COVID-19 protocols.

In consideration of my desire to train and to participate in aforementioned events, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assign as follow: A) Waiver, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind, including inadvertent remote session security breaches, which may hereafter accrue to me, EuroCrossAcademy, Inc., its officers, coaches, and guests. B) Indemnify and hold harmless the entities or persons mentioned in the paragraph from any and all liabilities or claims made by other individuals or entities as a result of my or any actions during this event. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during an event or training session.

I agree to be familiar with and abide by the rules and regulations established for an event. I also agree that I am subject to, and shall abide by, the competitive rules, regulations, policies and Code of Conduct adopted by USA Cycling (USAC) as amended from time to time and published at www.usacycling.org. I agree to be familiar with the event course. I agree to ride and participate so as to neither endanger myself nor others.

I accept responsibility for the condition and adequacy of my equipment and any equipment provided for my use. I will wear a helmet that complies with USAC rules and regulations and I assume all responsibility for the selection of such a helmet.

I hereby acknowledge that I support drug and doping-free sport and comply with all USAC, USADA, UCI, WADA, and any other relevant agencies drug testing rules and regulations.

I promise to train and compete fairly and will be a good representative of my sport to my sponsors, friends, family, and associates. I will follow all USAC, USADA, WADA and other rules and guidelines of my sport regarding ethical competition.

I understand that EuroCrossAcademy may collect or receive my contact information in connection with this agreement, and use it to administer this agreement and for marketing purposes. I further acknowledge, agree and consent that (a) EuroCrossAcademy and its designees may share this information with third parties who need access to this information to perform services on EuroCrossAcademy’s behalf, (b) EuroCrossAcademy may also share this information with select marketing partners, and (c) EuroCrossAcademy and its select marketing partners may use this information to contact me with information and offers believed to be of interest to me.

I grant to EuroCrossAcademy and its designees the right and license to use, copy, modify, broadcast, distribute, transmit, display, perform, present, create works and derivative works, and otherwise utilize my image, likeness, name, voice, comments or other personal information (collectively, “Personal Attributes”), in any manner or medium (whether now or hereafter existing), filmed, photographed or otherwise recorded or memorialized in any manner in connection with an Event, without compensation or notice to or consent by me or any third party, for the purposes of advertising or promoting an Event, EuroCrossAcademy, the sport of cycling, or any commercial use so long as such use does not imply my personal endorsement or affiliation with any company, product or service.

This agreement shall be governed by and construed in accordance with the laws of Vermont, without giving effect to any choice or conflict of law provision or rule (whether of Vermont or any other jurisdiction) that would cause the application of laws of any jurisdiction other than those of Vermont. Any legal suit, action, or proceeding arising out of or relating to this agreement shall be instituted in the federal court located in Montpelier, VT or state courts located in Waitsfield and Washington County, and each party irrevocably submits to the exclusive jurisdiction of such courts in any such suit, action or proceeding. If any provision of this agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other provision of this agreement or invalidate or render unenforceable any other provision in any other jurisdiction.

The information provided by EuroCrossAcademy, Inc. is to serve for the purposes of cycling and, specifically, cyclocross training, not specific coaching, advice, therapy or counseling.

I have carefully read the foregoing and fully understand its terms. I attest that I am 18 years of age or older (19 if in Alabama). I understand that I am giving up substantial rights, including my right to sue Releasees for injuries resulting from the inherent risks of cycling and the ordinary negligence of Releasees. I acknowledge that I am signing this agreement freely and voluntarily, and intend my signature to be a complete and unconditional release of all liability to the greatest extent permitted by law.

I, hereby agree to all of the above agreement terms by electronically confirming below.

Today's Date: November 29, 2021

First Participants Name

First Name*

Middle Name

Last Name*

Phone*
First Participants Date of Birth*
I certify that I am 18 years of age or older
First Participants Signature*
Second Participants Name

First Name*

Middle Name

Last Name*
Second Participants Date of Birth*
Second Participants Signature*
Third Participants Name

First Name*

Middle Name

Last Name*
Third Participants Date of Birth*
Third Participants Signature*
Fourth Participants Name

First Name*

Middle Name

Last Name*
Fourth Participants Date of Birth*
Fourth Participants Signature*
Fifth Participants Name

First Name*

Middle Name

Last Name*
Fifth Participants Date of Birth*
Fifth Participants Signature*
Sixth Participants Name

First Name*

Middle Name

Last Name*
Sixth Participants Date of Birth*
Sixth Participants Signature*
Seventh Participants Name

First Name*

Middle Name

Last Name*
Seventh Participants Date of Birth*
Seventh Participants Signature*
Eighth Participants Name

First Name*

Middle Name

Last Name*
Eighth Participants Date of Birth*
Eighth Participants Signature*
Ninth Participants Name

First Name*

Middle Name

Last Name*
Ninth Participants Date of Birth*
Ninth Participants Signature*
Tenth Participants Name

First Name*

Middle Name

Last Name*
Tenth Participants Date of Birth*
Tenth Participants Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
I attest that I am the parent or legal guardian of the minor participant named above. I have carefully read the abovementioned and agree to all of the terms.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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