CTTR MEMBERSHIP
September 2020 to September 2021 Coastal Track and Trail Runners Group
Email address *
Name: *
Address: *
Gender: *
D.O.B *
Mobile No: *
Emergency Contact person: *
Emergency Contact Mobile *
Please list any medical conditions you have, that the first aide should know about in case of an emergency.
You have joined CTTR as: *
Parent/Guardians Name if under 16:
Parent/Guardians Mobile Number:
Shirt or singlet size for checking only (Shirt/singlet is not included in membership) *
What distances do you like to run/walk: *
Required
Coastal Sports Warehouse CSW (Coastal Track and Trail Runners CTTR)Acknowledgement, Release, and Indemnity This is an important document which affects your legal rights and obligations. You must read it carefully prior to running with Coastal Track and Trail Runners (Social Running/Race/training). This is an especially important form for all running, training, racing with CTTR. *
Required
Please read before coming to rego/racing. You need to be aware of the risks of participating in the Social Runs/Race/Training with CTTR. In consideration of Coastal Sports Warehouse and Coastal Track and Trail Runners (the “Social Running/Race Organisers”) accepting my participation in any of the CTTR Series (Social Run/Race) to be held at State Forest and on private property (the “ Social Run/Race”) I Agree to this release of claims, waiver of liability and assumption of risk. *
Required
1. I have read and understood the relevant Social Run/Race Briefing document and information relating to the Social Run/Race for State Forest and private land locations. *
Required
2. I understand the demanding physical nature of the Event/Race/Social/Training Run. I declare, as a condition of entry to the Event/Race/training, that I have sufficiently trained for this Event/Race/training and that I am not aware of any illness, COVID-19, not traveled back from overseas in the last month, injury or any other physical disability which may cause me injury or death whilst participating in the Event/Race/Social/Training Run. *
Required
3. Prior to race/training start or in the Event/Race that I become aware of any medical condition or impairment, or I am otherwise sick or runny nose, dry throat or any other COVID 19 symptoms or have COVID-19 or injured prior to or during the Training/Social/Event/Race, I will withdraw from the Social/Training Run/Event/Race. *
Required
4. I acknowledge that participating in the Social/Training/Event/Race is a dangerous activity and that by such participation I am exposed to certain risks. I acknowledge that the enjoyment of trail running is derived in part from the inherent risks and exertion beyond the accepted safety of life at home or at work and that these inherent risks contribute to such enjoyment and are a reason for my participation in the Social/Training/Event/Race. *
Required
5. The Event Organisers CSW/CTTR may at their sole discretion, refuse event entry or cancel an event entry (with full refund) to any person for any reason whatsoever. *
Required
6. I acknowledge and understand that whilst participating in the Social/Training/Event/Race: • I may be injured, physically or mentally, or may die from various causes including, but not limited to, over exertion, dehydration, cardiac arrest, slips, trips or falls, accidents with other participants, spectators and road users, or accidents caused by my own actions; • I may be infected or may die from various causes including, but limited to, someone at the social/training/event/race without their knowledge may have been in contact with someone with COVID-19 prior to the social/training/event/run and have no symptoms prior to starting the race and find out later that they had COVID-19 and may have given it to anyone they may have come into contact with or even die from the result of contracting COVID-19 from that contact; • My personal property may be lost or damaged. • The conditions in which the Social/Training/Event/Race is conducted may vary without warning. • I may cause injury to other persons or damage their property. • I assume the risk and responsibility for any injury, death, contracting COVID-19 or property damage resulting from my participation in the Social/Training/Event/Race. • I may be in a remote or isolated location where access to medical support may be limited and take significant time to reach me. • There may be no or inadequate facilities for treatment or transport of me if I am injured. *
Required
7. I agree that if I am injured or require medical assistance, the Social/Training/Event/Race Organisers may, at my cost, arrange medical treatment and emergency evacuation as deemed necessary by the Social/Training/Event/Race Organisers. We recommend that you arrange your own personal accident insurance, ambulance cover and income protection insurance before participating in the Event/Race to cover any unforeseen personal costs you may incur due to ambulance trips, medical expenses or time off work due to injuries sustained whilst participating in the Event/Race. I agree that I am responsible for my own medical and ambulance insurance cover. *
Required
8. I understand that my medical history and personal information, collected as part of the entry process for the Social/Training/Event/Race will be made available, if I am evacuated from the Social/Training/Event/Race by Emergency Services, Medical Team or Operations Team, this personal information plus any new data entered by Social/Training/Event/Race crew will be supplied to the Emergency Services staff to enable my continued care. *
Required
9. I agree to allow my name, results, photographs, videos, multimedia or film likeness to be used for any legitimate purpose by Coastal Sports Warehouse CSW/CTTR Coastal Track and Trail Runners, CTTR Photography, the sponsors, event partners or assigns without payment or compensation. *
Required
10. I also agree that in the event I am injured, contract COVID-19 or my property is damaged, I will bring no claim, legal or otherwise, against the Social/Training/Event/Race Organisers in respect to that injury or damage *
Required
11. I agree to abide by the Social/Training/Event/Race Briefing Rules and the directions of all Event/Race officials. *
Required
12. I agree to release, indemnify and hold harmless the Social/Training/Event/Race Organisers (Coastal Sports Warehouse CSW/CTTR Coastal Track and Trail Runners), its officers, employees, agents, volunteers, contractors, public bodies, landholders and sponsors, from and against any and all claims, demands, right or cause of action, suits, expenses, costs and proceedings of any nature whatsoever which may be made by me or on my behalf or by other parties for or in respect of or arising out of any injury, loss, damage or death caused to me or my property as a result of my entry or participation in the Social/Training/Event/Race whether by negligence, breach of contract or in any way whatsoever. (This is an Social/Training/Event/Race. The Runners make use of facilities at their own risk and without express permission from Social/Training/Event/Race Organisers or the State Forest or Council Authorities.) *
Required
13. I acknowledge that my image may be taken by the Social/Training/Event/Race photographer. *
Required
14. I acknowledge that the Social/Training/Event/Race Organisers may change the advertised course without notice if the Social/Training/Event/Race Organisers deem this necessary. I also acknowledge that the Social/Training/Event/Race Organisers may cancel the Social/Training/Event/Race due to weather conditions, safety considerations, terrorism or ‘acts of god’ and in such circumstances my entry fee will be non-refundable. *
Required
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