North Valley Multisport Membership Application - 2020
The Club is here to support all levels of multisport athletes by offering training sessions, group training events, clinics, monthly meetings, social activities and more. Membership with North Valley Multisport will be confirmed by email to you within 10 working days of completing this application. Your membership application will not be acknowledged until you've paid the membership fees via paypal through the North Valley Multisport website. The fee for the 2020 membership year is $75; additional adult family members living in the same household are $55 each. Children under 18 are $25. All memberships expire December 31, 2020.
First Name *
Last Name *
Middle Initial
Email Address *
Gender *
Required
Marital Status
(Married, Single, etc..)
Street Address *
City *
State *
Zip Code *
Primary Phone Number *
Mobile Number *
Can be same as above
Bith Date (MM/DD/YYYY) *
USAT Member#
Please include this if you are a USAT member
Expiration (MM/DD/YYYY):
USAT Expiration Date
Emergency Contact (Name): *
Emergency Contact (Phone): *
TYPE YOUR INITIALS in the Box to Accept (if Minor, Guardian should Initial): *
TYPE YOUR INITIALS if you accept the following: RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT"): IN CONSIDERATION of being permitted to participate in any way in any North Valley Multisport activity, including, but not limited to triathlon, swimming, cycling, running, multisport or social activities ("Activity") at any time I, for myself, my personal representatives, assigns, heirs, and next of kin: 1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS or SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation ,or that of the minor, in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE North Valley Multisport, its administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, rescue personnel, sponsors, advertisers, owners and lessees of Premises on which the Activity is conducted, (each of the forgoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim. The laws of the State of Arizona will govern all matters hereunder and any action must be brought in Maricopa County, Arizona. I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS, HAVE HAD SUFFICIENT TIME TO READ THIS AGREEMENT IN ITS ENTIREY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
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