Shape Up Montana Jump Start Individual Registration
Want to join the Shape Up Montana JumpStart program but can't find a teammate to do it with you? We can help! Simply fill out the form below with your information and we will pair you with another person who is also looking for a teammate.
First & Last Name *
Email Address *
Mailing Address *
City *
Zip *
Birthdate
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Phone *
T-Shirt Size *
WAIVER and RELEASE of LIABILITY IN consideration of being allowed to participate in any way in the BIG SKY STATE GAMES/Shape Up Montana athletic/sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of the releases or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation. IF however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representative and next of kin, HEREBY RELEASES AND HOLDS HARMLESS THE BIG SKY STATE GAMES, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.I give my permission for the free use of my name and/or picture for use in broadcasts, telecasts, newspaper, etc., for the promotion and information purposes of the event organizers. I give Big Sky State Games permission to share my accumulated miles to the company my team is associated with. Acknowledge that I am aware that there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or resulting from: An outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2),” which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof; I know that running in an event that is organized as a virtual activity where I run on my own, at a date and time of my choosing, in a location and running route of my choosing, which will not have any support or security measures in place by Shape Up Montana/Montana Amateur Sports is a potentially hazardous activity, which could result in injury or death. I acknowledge that I am participating in the activity outlined by this virtual event by my own free will and at my own personal risk. I will not participate in a virtual event unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I further agree to abide by the Center for Disease Control's (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases, and I attest to having read the CDC's guidance at: www.cdc.gov/coronavirus/2019-ncov/prepare/preventionI attest that if my community has a shelter in place order, that I will only participate in the virtual event by using a personal treadmill, and I will not run outside in the community during the duration of a shelter in place order. I agree to follow all pedestrian safety ordinances including running on a sidewalk where available and not in the road. I agree to follow the rules of the road if no sidewalk or multi-use trail is available, and I will run against oncoming traffic and not with traffic agree to abide by any decision of a race official to any aspect of my participation in this virtual event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the virtual race scheduled for April 26 - 30 including the terms in this waiver, the timeline of the virtual event and agree to abide by them. I assume all risk to me associated with running on my own as part of this virtual activity, including but not limited to: falls, contact with other pedestrians, the effects of weather, including high heat and/or humidity, traffic and the conditions of the road or trail, all such risks being known or unknown and appreciated by me when out running on my own without any type of support from local officials or event organizers. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Montana Amateur Sports, Inc., and the Road Runners Club of America, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this virtual event, and waive my ability to bring any legal action against the entities outlined in this waiver as I am voluntarily electing to run on my own as part of this virtual event. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event. I (and my parent/guardian) have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I (we) have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. *
Submit Payment - $12 Please click on the paypal.me/bssg link to pay for your registration. (After payment is received, we will contact you with your Jump Start teammate's name and email.) *
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