Trinidad Labor Day Hill Challenge & Family Day
Friday 19th June 2020
Kids Zip Line Center, Chaguaramas
Entry Fee: $360.TTD (Extreme Fit)
First Name: __________________ Last Name: _________________________
Phone: ________________ Email: ____________________________
Gender: (M) (F) Date of Birth: (d m y) ____/____/______
Nationality: ___________________ Jersey Size: Please circle: (S) (M) (L) (XL) (XXL)
Emergency Contact: Name: _______________________ Phone No: ___________
WAIVER & DISCLAIMER
The undersigned participant on behalf of himself/herself, assigns, heirs and executors hereby fully and forever releases, waives, discharges and covenants not to sue or bring any form of legal action against Nature Trekking in T&T or any government or statutory authority or agency whose property and/or personnel are used and all other sponsors or co-sponsors, companies or individuals related to the event (collectively called the releases) from all liability to the participant and his or her personal representative, assigns, heirs and executors for all loss(es) or damages and any and all claims or demands whatsoever on account of any injury to the participant or property or resulting in the death of the participant whether caused by the active or passive negligence of all or any of the Releasees or otherwise in connection with the participant's participation in the event. The participant represents and warrants that he/she is in good physical condition and is able to safely participate in the event. The participant is fully aware of the risk and hazard involved in participating in the event and hereby elects to voluntarily compete in the event knowing the risks associated with the event. The participant hereby assumes all risks of loss (es) damages or injury (ies) that may be sustained by him/her while participating in the event. The participant is fully aware that conditions apply to the distribution of prizes. Further, the participant grants full permission to any or all of the Releasees to use any photographs, video tapes, motion pictures, recordings, and any other record of this event for any legitimate purpose. Nature Trekking in T&T retains the property in all photographs, video and audio material arising from the event and reserves the right to use all such images and sound as it sees fit for legitimate purposes without the participant's consent.
ENTRY FEES ARE NEITHER REFUNDABLE NOR TRANSFERABLE. THERE IS NO NUMBER PICK-UP ON EVENT DAY.
Applicant’s signature: __________________________
Parent of applicant under 18 years old signature: ________________________
Date: ____/____/_______ (d m y)
Deadline date for payment: Friday 12th June 2020.
For more information contact Emile Serrette @ 1-868-740-2860