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The Purgatory 4 Adventure Relay - 2023

    

CITY OF TRINIDAD, OFFICE OF OUTDOOR RECREATION

RELEASE AND WAIVER FORM

 

I, ________________________________________, on my own behalf and on behalf of my heirs, next of kin, executors, administrators, estate, agents and assigns, and representatives of any nature whatsoever, for and in consideration of the authorization and permission to access and use certain property owned and operated by The City of Raton and the Energy, Minerals and Natural Resources Department, State Parks Division to participate in the Purgatory 4 Adventure Relay sponsored by City of Trinidad Office of Outdoor Recreation to take place in Sugarite Canyon State Park, The Trinidad State College Prator Gun Range and road ways between the two locations on September 9th and 10th, 2022 such authorization and permission has been granted to me at my voluntary request, after having been fully advised of the potential hazards of such activity or activities do hereby WAIVE AND RELEASE all demands, damages, actions, causes of actions, suits and claims of any nature whatsoever, and costs (including attorneys’ fees) whether in law or in equity, that I or my heirs, next of kin, executors, administrators, estate, agents and assigns, and representatives of any nature whatsoever might otherwise have against the State of New Mexico, the Energy, Minerals and Natural Resources Department, State Parks Division, the City of Raton, the City of Trinidad, the City of Trinidad Office of Outdoor Recreation and their respective agents, employees and representatives, on account of my death or injuries, both to person and to property, whether foreseeable or not, which may occur, directly or indirectly, or develop at anytime in the future as a result of my activities in the above-mentioned event.

 

I expressly agree and understand that this WAIVER AND RELEASE shall apply for the express purpose of precluding forever all claims including claims for costs and attorneys’ fees, suits, demands, damages, and causes of action that I or my heirs, next of kin, executors, administrators, estates, agents and assigns, and representatives of any nature whatsoever might otherwise assert against any of the aforesaid parties as a result of my association and activities during the above-mentioned event and activities.

 

I acknowledge that if I am given treatment for an injury or illness related to my participation in the activity described above or if anyone offers to pay my medical expenses, the treatment or offer to pay cannot be interpreted as an admission of liability or responsibility by the State of New Mexico, the Energy, Minerals and Natural Resources Department, State Parks Division, the City of Raton, the City of Trinidad, the Trinidad Office of Outdoor Recreation, Trinidad State College and the TSC Prator Gun Range or their employees, agents, or any of them.

 

I understand that the activities described above may involve the inherent risks associated with such activity and I agree that I am participating in that activity after having given due consideration to such inherent risks.

 

I acknowledge that notwithstanding any other provision of this Agreement to the contrary, no term or condition of this Agreement is intended to be or shall be construed or interpreted as a waiver, either expressed or implied, of any of the immunities, rights, benefits or protection provided to the State of New Mexico, and the Energy, Minerals and Natural Resources Department, State Parks Division, the City of Raton, The City of Trinidad, the Trinidad Office of Outdoor Recreation, Trinidad State College and the TSC Prator Gun Range under the New Mexico Tort Claims Act, 1978 NMSA 41-4-1 et seq. as amended or as may be amended (including, without limitation, any amendments to such statute, or under any similar statute which is subsequently enacted) and the Colorado Tort Claims Act, CRS 24-30-1510(3)(e) & 24-30- 1520 respectfully.

 

I hereby declare that the terms of this WAIVER AND RELEASE have been fully read and understood by me, and I freely and voluntarily entered into and accept all these terms.

 

Signature:  ______________________________________         Date: _____________

 

Telephone Number: __________________________

Emergency Contact Name: _______________________      

Emergency Telephone Number: __________________________

 

 

Signature of Parent/Guardian if juvenile______________________________________       Date:_____________

 

Witness Signature:_________________________________________________

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, sponsors, affiliates, volunteers, The Purgatory 4 Adventure Relay, and individual The Purgatory 4 Adventure Relay 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 .



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