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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

PAC-10 FITNESS CHALLENGE 
ASSUMPTION OF RISK AND RELEASE OF LIABILITY 
WARNING - PLEASE READ BEFORE SIGNING! 
Assumption of Risk 
In consideration for being allowed to participate in the Pac-10 Fitness Challenge, I voluntarily agree to assume all the risks involved in participating in any activities that can be included in the Pac-10 Challenge.  I understand that direct supervision will not be provided and by participating in these activities, I expose myself to the risk of injuries including but not limited to temporary or permanent muscle soreness, sprains, strains, cuts, abrasions, bruises, ligament and/or cartilage damage, head, neck or spinal injuries, loss of use of arms and/or legs, eye damage, disfigurement, drowning or death.  I also recognize that there are both foreseeable and unforeseeable risks of injury or death that may occur as a result of my participation in these activities which cannot be specifically listed. Further, I recognize that the actions of other people either affiliated or not affiliated with the Organizers listed below may cause harm or loss to my person or property. 
 
Release of Liability 
In further consideration for being allowed to participate in the Pac-10 Fitness Challenge and associated activities, I hereby release and hold harmless the Pacific-10 (Pac-10) Conference, Washington State University and its Regents, University Recreation, and all of their respective officers, employees, agents and representatives (hereafter “Organizers”), from any and all liability, claims, costs, expenses, injuries or losses, including those resulting from the negligent acts or omissions of the Organizers, that I may sustain as a result of or in relation to my participation in these activities. I also release the Organizers from loss or damage to my person or property caused by other people either affiliated or not affiliated with the Organizers, and I will indemnify (including reimbursement and defense as defined under law) and hold harmless the Organizers from any loss or damage which may arise from my negligent acts or omissions. 
 
If any part or portion of this Assumption of Risk and Release of Liability is determined to be invalid or unenforceable, the remaining parts or portions shall be enforceable. 
 
I have carefully read this Assumption of Risk and Release of Liability and fully understand its contents.  I am aware that this Assumption of Risk and Release of Liability is legally binding and I sign it of my own free will.

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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.

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