Arizona State University

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* First Name:

* Last Name:

Affiliation:

* Phone:

* Email:

* Retype Email:

Gender:

N/AFemaleMale

University ID:

Group Affiliation:

Group Name:

(Name of student organization, residence hall,
fraternity/sorority if applicable)

* Password:

* Retype Password:

You must be 18 years of age by October 26, 2009 to participate in the Pac-10 Challenge warm-up.

* Birthdate (MM/DD/YYYY):

RELEASE/DISCLAIMER

In consideration of being permitted to participate in the Pac-10 Fitness Challenge, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Pacific-10 Conference, its directors, officers, employees, and agents from liability from any and all claims, resulting in personal injury, accidents or illnesses (including death), and property loss arising from my participation in the Pac-10 Fitness Challenge.

I also agree to indemnify and hold the Pacific-10 Conference harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney fees brought as a result of my involvement in the Pac-10 Fitness Challenge and to reimburse them for any such expenses incurred.

I also acknowledges that the Pac-10 Fitness Challenge is not a Pac-10 varsity sport nor is it sponsored by or organized by the Pacific-10 Conference.

Assumption of Risk, Release of Liability

In this agreement, "ASU" mean Arizona State University, the Arizona Board of Regents, the State of Arizona and their employees and agents. 
As a condition of my being allowed to participate in the activities, I agree to the following: 
 
1. I agree to release and indemnify ASU and agree not to sue ASU for any illness or injury I sustain as a result of the activities if the harm is not due to the fault or negligence of ASU.
2. I am aware of the risks in the activities.  I am aware that unanticipated and unexpected events may occur during the activities, including during transportation to and from the destination (if applicable), that may result in injury. 
3. I agree to assume the risk that unexpected events may occur and result in harm, illness and injury in connection with the activities and related transportation, lodging, meals (if applicable). 
4. It is my responsibility to obtain all necessary and prior permission or medical approval to participate in these activities. We strongly encourage you to consult with a physician and have a health assessment and/or physical exam prior to participation, and annually thereafter.     
5. If I am injured while participating in a Campus Recreation Program, I understand the university does not provide medical insurance coverage and that I, as a member and participant of Campus Recreation Program, will be responsible for any medical costs incurred.  
 
I understand that my participation in these activities is voluntary and is not required by nor will it affect my evaluation or grade for any class at Arizona State University.

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The registration information collected will be used solely for the Pac-10 Fitness Challenge. Your personal information (name, address, email, date of birth, phone number) will never be given or sold to a third party. You will only be contacted for Pac-10 Fitness Challenge specific purposes, such as winning an incentive prize or to provide updates.

Brought To You By Arizona State University Recreation