As a participant in this event, I hereby , for myself, my heirs, my executors and administrators, waive any and all of my rights and claims for damages I may have against sponsors, coordinating groups, and any individuals associated with the event, their representatives, successors and assigns for any and all injuries suffered by me in connection with said event. In filling out this form, I acknowledge that I am an amateur in such events. I also give permission for the free use of my name and picture in any broadcast, telecast, print media, social media, or website for this event. In filling out this form, I acknowledge I have read and fully understand my own liability and do accept the restrictions.