Dave Spencer Ski Classic February 22-24, 2019

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1 Dave Spencer Ski Classic February 22-24, 2019 REGISTRATION FORM Registration forms, pledge sheets, and all money owed will be due Saturday, February 24. Please turn in partial pledges in advance it helps with tracking team totals. **Family friendly costumes are highly encouraged throughout the weekend** Friday, February 22 (5:00pm -7:00pm) Saturday, February 23 (8:30am 3:00pm) Sunday, February 24 (9:30am start) Sunday, February 24 (5:30pm -?) Welcome & Registration Party at TBK Bank. Team check-in available. Registration and Race Day at the Dave Spencer Center at Purgatory Resort. Mountain Rally with lunch at the Dave Spencer Center at Purgatory Resort Award Part at the Doubletree Hotel Make reservations by Monday the 18 th Your Name Phone Number Mailing Address City State Zip Team Name or Individual Racer Name Team Captain Name Phone Number If not with a team, do you want to be placed on a team? Yes No ENTRY FEE - 5 people per team maximum. Check the box of the team type you re registering. General Registration Fee: $750 per 5 Person Team (minimum fee) or $150 per Individual Racer (required) Active Winter Volunteers Registration Fee: $500 Kids Team Registration Fee (18 and under): $300 Scholarship: Are donation pledges covering entry fee? Yes No Partial *Please remember that prizes will be awarded for money raised beyond the minimum registration fee* LIFT TICKETS - Valid Saturday & Sunday for team members only. Check day(s) needed. Adult-$45 per day Saturday Sunday $45 x =$ Child (ages 6-12) $27 per day Saturday Sunday $27 x =$ AWARDS PARTY at Doubletree by Hilton (included in Entry Fee for team members) Will your team be attending? How many non-team members attending the party? YES NO $35 x = $ Total due (including registration fee) = $ *Each team member must sign required participation waivers prior to participating in this event!* Call to reserve space today! For more information, contact or events@asadurango.com

2 Disabled Sports USA Waiver & Release of Liability Agreement Disabled Sports USA, and its affiliated Chapters ( Released Parties ) are non commercial, not for profit activity providers. The purpose of this Disabled Sports USA Waiver & Release of Liability Agreement is to exempt, waive, and relieve Released Parties from any and all liability for any harm, wrongful death, personal injury, property damage, claim or cause of action, including, but not limited to liability arising from the negligence of Released Parties. Released Parties include Disabled Sports USA, Adaptive Sports Association, and their affiliates, successors, predecessors, parents, subsidiaries, owners, representatives, administrators, directors, officers, agents, coaches, employees, contractors, assigns, and volunteers; other participants, sponsoring agencies, sponsors, and advertisers; and, if applicable, the owners, operators, and lessors of premises on which the activities or events take place. In consideration of the undersigned Participant being allowed to participate in any way in Disabled Sports USA and/or Adaptive Sports Association related events and activities, the Undersigned ( Undersigned means the Participant or the Participant s parent, legal guardian, or legal representative when the Participant is under the age of 18 or legally incapacitated) agrees and acknowledges as follows: 1. Risks of Activity. Participant will be taking part in activities that can be hazardous and involve the risk of physical injury and/or death. The activities are inherently dangerous and Undersigned fully realizes the dangers of participating in the activities. The dangers and risks of the activities include, but are not limited to the condition of the premises and equipment, and the acts, omissions, representations, carelessness, and negligence of the Released Parties. Recognizing the risks and dangers, the Undersigned voluntarily chooses for Participant to participate in the activities and expressly assumes all risks and dangers of the participation in the activity, whether or not described above, known or unknown, inherent, or otherwise. 2. Release and Indemnification. Undersigned (a) unconditionally releases, forever discharges, and agrees not to sue the Released Parties for any claims or causes of action for any liability or loss of any nature, including personal injury, death, and property damage, arising out of or relating to Participant s participation in any Disabled Sports USA/ Adaptive Sports Association events or activities or the Participant s presence on or travel to the premises where such events or activities take place, including, but not limited to claims of negligence, breach of warranty, and/or breach of contract the Undersigned may or will have against the Released Parties; and (b) agrees to indemnify, defend, and hold harmless the Released Parties from and against any liability or damage of any kind and from any suits, claims, or demands, including legal fees and expenses whether or not in litigation, arising out of, or related to, Participant s participation in such events or activities or the Participant s presence on or travel to the premises where such events or activities take place. 3. Helmet Use. Undersigned agrees that Participant shall use a helmet when participating in the following activities: Alpine skiing, cycling, equestrian, ice hockey, outdoor rock climbing, snowboarding, white water kayaking, white water river rafting, and any other activity when directed by Released Parties. Undersigned understands that a helmet is in no way a guarantee of safety and that no helmet can protect the wearer against all foreseeable impacts to the head, and that the activities can expose the Participant to forces that exceed the limits of protection provided by a helmet. Undersigned agrees to assume full responsibility for complying with this paragraph and that Released Parties shall not be liable for any injury or damages resulting from Participant s failure to use a helmet. 4. Medical Treatment. Undersigned understands that the Released Parties do not have medical personnel available at the location of the activities. Undersigned hereby grants the Released Parties permission to administer first aid or to authorize emergency medical treatment, if necessary. Undersigned understands and agrees that any such action by the Released Parties shall be subject to the terms of this agreement and release, including any liability arising from the negligence of the Released Parties when administering first aid or authorizing others to do so. Undersigned understands and agrees that the Released Parties do not assume responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment. 5. Miscellaneous. Undersigned agrees (a) Participant will not engage in any activities prohibited by any applicable laws, statutes, regulations, and ordinances; (b) this Agreement shall be governed by the laws of the State of Colorado and the exclusive jurisdiction and venue for any claim shall be located in the state courts located in La Plata County, CO; (c) this Agreement shall be binding upon the subrogors, distributors, heirs, next of kin, executors, and personal representatives of the Undersigned; (d) this Agreement shall be construed as broadly as permitted by applicable law; and (e) that in the event that any clause or provision of this Agreement shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Agreement. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST. BY SIGNING BELOW, I HEREBY REPRESENT THAT I AM AT LEAST 18 YEARS OF AGE AND FULLY COMPETENT TO SIGN THIS AGREEMENT ON MY OWN BEHALF. Participant s Signature Participant's Name (please print clearly) Date FOR PARTICIPANTS UNDER THE AGE OF 18 OR LEGALLY INCAPACITATED Undersigned parent, or legal guardian, or legal representative acknowledges that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor or legally incapacitated adult and that the minor or the legally incapacitated adult shall be bound by all the terms of this Agreement. Additionally, by signing this Agreement as the parent, or legal guardian, or legal representative of a minor or legally incapacitated adult, the parent, legal guardian, or legal representative understands that he/she is also waiving rights on behalf of the minor or legally incapacitated adult that the minor or legally incapacitated adult otherwise may have. The Undersigned parent, or legal guardian, or legal representative agrees that, but for the foregoing, the minor or legally incapacitated adult would not be permitted to participate in the activities. By signing below, I hereby represent that I am the parent, legal guardian, or legal representative of a minor, or legally incapacitated adult Participant and that I have the authority to sign on the Participant s behalf. Minor s DOB Parent/Legal Guardian or Representative Signature Parent/Legal Guardian or Representative Name Relationship Date Disabled Sports USA Revised 11/2018

3 Disabled Sports USA Media Release Agreement Disabled Sports USA, and its affiliated Chapters ( Released Parties ) are non commercial, not for profit activity providers. Released Parties include Disabled Sports USA, Adaptive Sports Association and their affiliates, successors, predecessors, parents, subsidiaries, owners, representatives, administrators, directors, officers, agents, coaches, employees, contractors, assigns, and volunteers; other participants, sponsoring agencies, sponsors, and advertisers; and, if applicable, the owners, operators, and lessors of premises on which the activities or events take place. MEDIA RELEASE FORM MEDIA/PHOTO WAIVER: Undersigned authorizes and gives full consent to Released Parties to copyright and/or publish for public view any and all photographs, digital recordings, videotapes, and/or film in which Participant appears. Undersigned agrees that Released Parties may transfer, use, or cause to be used, these digital recordings, photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes, television programs, and internet without limitations or reservations. Participant s Signature Participant's Name (please print clearly) Date FOR PARTICIPANTS UNDER THE AGE OF 18 OR LEGALLY INCAPACITATED Undersigned parent, or legal guardian, or legal representative acknowledges that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor or legally incapacitated adult and that the minor or the legally incapacitated adult shall be bound by all the terms of this Agreement. Additionally, by signing this Agreement as the parent, or legal guardian, or legal representative of a minor, or legally incapacitated adult, the parent, legal guardian, or legal representative understands that he/she is also waiving rights on behalf of the minor or legally incapacitated adult that the minor or legally incapacitated adult otherwise may have. By signing below, I hereby represent that I am the parent, legal guardian, or legal representative of a minor, or legally incapacitated adult Participant and that I have the authority to sign on the Participant s behalf. Minor s DOB Parent/Legal Guardian or Representative Signature Parent/Legal Guardian or Representative Name Relationship Date Disabled Sports USA Revised 11/2018

4 Purgatory Recreation I, LLC d.b.a. Purgatory Resort Hesperus Recreation I, LLC ADAPTIVE SPORTS PARTICIPANTS WARNING, ASSUMPTION OF RISK, RELEASE OF LIABILITY & INDEMNIFICATION AGREEMENT PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY & WAIVER OF CERTAIN LEGAL RIGHTS. 1. The person who is participating in the Adaptive Sports Program shall be referred to hereinafter as Student. The Undersigned means only the Student when the Student is age 18 or older OR it means both the Student and the Student s parent or legal guardian when the Student is under the age of 18. The Undersigned agree and understand that taking part in ski school, skiing, snowboarding and using ski area facilities, including the lifts, for any purpose (hereinafter the Activity ), can be HAZARDOUS AND INVOLVES THE RISK OF PHYSICAL INJURY AND/OR DEATH and that those hazards and risks are INCREASED AS AN ADAPTIVE STUDENT. 2. The Undersigned are advised that a person using any of the facilities of the ski area is considered a skier. The Undersigned acknowledge and understand the dangers and risks of skiing and understand that the Student, as a skier under Colorado law, ASSUMES ALL INHERENT DANGERS AND RISKS as provided by the Colorado Ski Safety Act (hereinafter Act ). 3. The Undersigned further understand and agree that in signing this Agreement, the Undersigned are expressly acknowledging and assuming additional risks and dangers that may result in property damage, physical injury and/or death above and beyond those outlined in the Act, including but not limited to: Falling; drills; exercises; free skiing; following the direction of the instructor; terrain selection of the instructor; avalanches; cornices; suffocation; crevasses; equipment failure; equipment malfunction; equipment damage; Student s improper use of equipment; Student s use of his/her own personal equipment; Student s failure to maintain or otherwise upkeep his/her own personal equipment; slick or uneven surfaces; slipping; tripping; loss of balance; rugged mountainous terrain; bumps; tree wells; downed timber; rocks of various sizes; holes; debris; marked and unmarked obstacles; drones or other aerial viewing equipment which may be encountered at any time; drainage channels; varying visibility; unmaintained trails; path and/or trail obstructions; unmarked roads and/or trails; Student or another acting in a negligent manner that may cause and/or contribute to injury to Student or others, such as selecting terrain that exceeds his/her ability and not acting within such ability or loading and unloading lifts; Student s failure to comply with signage; collisions with natural or man-made objects or collisions with other people; falling objects; encounters with snowmobiles and/or other motor vehicles; becoming lost or separated; lack of shelter; lift loading, unloading, and riding; storms, lightning, hail, snow and other adverse weather; limited access to and/or delay of medical attention; Student s health condition; strenuous activity; fatigue; exhaustion; dehydration; hypothermia; high elevation; altitude sickness; frostbite; & mental distress from exposure to any of the above. 4. Pursuant to Colorado law, Student assumes the responsibility of maintaining control at all times while engaging in the Activity. Student is responsible for reading, understanding and complying with all signage, including instructions on use of lifts. Student must have the physical dexterity and knowledge to safely load, ride and unload the lifts. As an Adaptive Student, Student may have physical, emotional or other challenges related to the Activity and the Adaptive Student may be partially or wholly under the supervision and control of the persons assisting the Student and, therefore, THE RISKS AND DANGERS are much GREATER FOR AN ADAPTIVE STUDENT. Being an Adaptive Student DOES NOT CHANGE the duties of the Undersigned under COLORADO LAW. Undersigned assumes the risks of riding the lifts and engaging in activities accessible from the lifts and of INSURING THAT PERSONS ASSISTING the Student comply with all of the above RESPONSIBILITIES. Further, the Undersigned understand that A MINOR STUDENT MAY USE THE SKI LIFTS WITHOUT AN ADULT PRESENT. The Undersigned are advised that snowmobiles, snowmaking, and snow-grooming equipment may be encountered at any time, and the Undersigned recognize that falls and collisions occur and injuries are a common and ordinary occurrence of the Activity. 5. The Undersigned acknowledge and understand that the description of the risks listed above are not complete and that participating in the Activity, whether or not described, may be dangerous and may also include risks which are inherent and/or which cannot be reasonably avoided without changing the nature of the Activity. By signing this document, the Undersigned recognize that property loss, injury, serious injury and death are all possible while participating in the Activity. RECOGNIZING THE RISKS AND DANGERS, THE UNDERSIGNED UNDERSTAND THE NATURE OF THE ACTIVITY AND VOLUNTARILY CHOOSE FOR STUDENT TO PARTICIPATE IN AND EXPRESSLY ASSUME ALL RISKS AND DANGERS OF THE ACTIVITY, WHETHER OR NOT DESCRIBED ABOVE, KNOWN OR UNKNOWN, INHERENT OR OTHERWISE. 6. Additionally, in consideration for allowing the Student to participate in the Activity, THE UNDERSIGNED HEREBY FULLY RELEASE and AGREE NOT TO SUE Purgatory Recreation I, LLC d.b.a. Purgatory Resort, Hesperus Recreation I, LLC or any of their respective successors in interest, affiliated organizations and companies, insurance carriers, agents, employees, representatives, assignees, officers, directors, shareholders and the United States of America and its agencies and employees, and the Adaptive Sports Association (each hereinafter a Released Party ) for any property damage (including but not limited to equipment damage), injury or loss to the Undersigned, including personal injury or death, which Student may suffer, arising in whole or in part out of Student s participation in the Activity. By agreeing not to sue, the Undersigned are releasing any right to make a claim or file a lawsuit against any Released Party. Also, the UNDERSIGNED

5 AGREE TO HOLD HARMLESS AND RELEASE EACH AND EVERY RELEASED PARTY FROM ANY AND ALL LIABILITY and/or claims for injury or death to persons or damage to property arising from Student s participation in the Activity, including, but not limited to, those claims based on any Released Party s alleged or actual NEGLIGENCE, VIOLATION OF the ACT or BREACH of any CONTRACT and/or express or implied WARRANTY. 7. By execution of this Agreement, the Undersigned also AGREE TO DEFEND AND INDEMNIFY/REIMBURSE each Released Party from any and all claims of the Undersigned, including any MINOR student, arising in whole or in part from Student s participation in the Activity or from the Undersigned s violation of this Agreement in any way, including making or filing any claim or legal action. This Indemnity agreement includes paying the legal and other expenses of any Released Party, including their attorney fees and costs. Undersigned also AGREES to have or obtain Life, Health and Accident INSURANCE BEFORE UNDERSIGNED PARTICIPATES IN THE ACTIVITY. 8. In consideration for allowing Student to participate in the Activity, the Undersigned AGREE THAT ANY AND ALL CLAIMS for injury and/or death arising from the Student s participation in the Activity shall be GOVERNED BY COLORADO LAW and EXCLUSIVE JURISDICTION of any claim shall be the DISTRICT COURT OF LA PLATA COUNTY, COLORADO. 9. In the case of a minor Student, the Undersigned parent or legal guardian acknowledges that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that THE MINOR SHALL BE BOUND by all the terms of THIS AGREEMENT. Additionally, by signing this Agreement as the parent or legal guardian of a minor Student, the parent or legal guardian understands that he/she is also WAIVING CERTAIN RIGHTS ON BEHALF OF THE MINOR that the minor otherwise may have. The undersigned parent or legal guardian agrees that but for the foregoing, the minor Student would not be permitted to participate in the Activity. 10. By signing this Agreement without a parent or legal guardian s signature, Student, under penalty of fraud, represents that he/she is at least 18 years of age. If signing as the parent or guardian of a minor Student, signing adults represent that they are a legal parent or guardian of the minor Student. 11. The Undersigned understand and acknowledge that this AGREEMENT IS A CONTRACT and shall be binding to the fullest extent permitted by law. If any part of this Agreement is deemed to be unenforceable, the remaining terms shall be an enforceable contract between the parties. It is the Undersigned s intent that this Agreement shall be binding upon the assignees, subrogors, distributors, heirs, next of kin, executors and personal representatives of the Undersigned. 12. The Undersigned gives FULL PERMISSION for Purgatory Recreation I, LLC d.b.a. Purgatory Resort or Hesperus Recreation I, LLC to use ANY AUDIO OR VISUAL MATERIALS of Undersigned or Minor taken at Purgatory Resort or Hesperus Ski Area and by signing below, Undersigned release the use of any audio or visual materials taken, or on file, and for any uses by PURGATORY RESORT or HESPERUS SKI AREA of Undersigned or the Minor for whom I am signing. I understand that all said images and sound recordings shall constitute the property of PURGATORY RESORT, solely and completely. I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK, RELEASE OF LIABILITY & INDEMNIFICATION AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS THAT OTHERWISE MAY EXIST. Printed Name of Student Signature of Student Date Printed Name of Parent/Legal Guardian #1 Signature of Parent/Legal Guardian #1 Date Printed Name of Parent/Legal Guardian #2 Signature of Parent/Legal Guardian #2 Date Emergency Contact: Printed Name Telephone NAME/RELATION