The undersigned wishes to participate in the Highlander Cycle Tour (HCT) fully understanding the inherent risks involved in road cycling and knowingly accepting those risks.  For myself, my heirs and legal representatives, I hereby release, indemnify and agree to hold harmless Mercy Flight Central, The Highlander Cycle Tour Organizers, and any officers, directors, representatives, employees, agents, volunteers, participants and sponsors of and from any and all losses, costs, damages, claims, demands, rights and causes of action of whatever kind or nature, including reasonable attorney fees, and including any and all negligence claims or causes of action, which may arise and which result from illness, personal injuries, property damage, death or of any other damages or injuries not included herein, occurring during, or as a result of, my participation in the HCT.  In further consideration of my being granted the right to participate in the HCT, I do hereby consent to and authorize the HCT, its officers, directors, representatives, employees, agents, volunteers, participants and sponsors, to obtain emergency medical treatment for me in case of any illness or injury resulting from or occurring during my participation in the HCT.  I understand and accept that any medical costs incurred with respect to emergency medical treatment will be my responsibility.  I agree that I will, at all times during my participation in the HCT, adhere to all safety rules and obey applicable local roadway and/or street signs, and regulations of the HCT which includes wearing a helmet at all times while riding my bicycle. I am of legal age and fully competent, have read this Waiver and Release and fully understand it and, if not of legal age, that my parent or legal guardian has fully read the above Waiver and Release and understands it and that I am fully bound by their signature. I understand an ANSI or SNELL approved helmet is required to be worn while riding. I understand that my name, address, photograph, video appearance, voice and/or likeness may be used in promotional or advertising or documentary materials of or by HCT or their licensees.  I consent to such uses and waive any rights of privacy or publicity I may have in connection with those uses. 


Parent or guardian signature required if participant is under age 18.

WAIVER: I, the undersigned participant (and my parent or guardian if I am younger than 18 years of age), intending to be legally bound, do hereby forever release and waive any and all rights, claims, and actions for damages that we, our heirs, executors, administrators, and assigns may have, or that may hereafter accrue against any and all persons, organizations, and other entities associated with the event, including, but not limited to Race Entry, USA Track and Field, sponsors, affiliates, volunteers, HIGHLANDER CYCLE TOUR, and individual HIGHLANDER CYCLE TOUR organizers, arising out of or in connection with my involvement before, during, or after the event.

I verify that I am physically fit and sufficiently trained to participate in this event and I assume the risks involved in this activity. I further attest that I will be mindful of traffic along the race course, and hold said sponsors and organizers blameless in any harm that may happen.

I consent to the collection and use of my Personal Information as contained in the Privacy Policy. I also give my permission for the free use of my name and/or pictures in telecasts, broadcasts, newspapers, posters, advertising, etc.

I also acknowledge understanding that the charge to my card will show up as Race Entry. I acknowledge that the online processing fees and charitable donations are non-refundable. I also acknowledge that any charitable donations will have 4.97% withheld from the donation to pay credit card and administrative costs.

Race Entry shall not be liable to you for any direct, indirect, special, incidental, consequential or exemplary damages including, but not limited to, loss of profits, goodwill, use, data or other intangible loses. Race Entry does not guarantee the completeness or accuracy of any information contained in, or provided in conjunction with the http://www.raceentry.com website. Race Entry is not responsible for any omissions or inaccuracies, or for the results obtained from this information.

Race Entry facilitates registration for various events, some of which allow participants under the age of thirteen (13). We require a submission of birth date for all registration entries. For children under the age of thirteen (13), parental or guardian consent is required.

You agree that the statutes and laws of the State of Utah, USA, will apply to all matters relating to this Agreement and Waiver. You irrevocably consent that exclusive jurisdiction for any dispute with Race Entry relating to this Agreement and Waiver resides in the courts of Utah, and you further agree and expressly consent to the exercise of personal jurisdiction in the courts of Utah in conjunction with any such dispute including any claim involving Race Entry .