ASHLEY ALBERT-HUNTER FUNDRAISER

STRONGMAN COMPETITION
Waiver and Registration
Date: June 16, 2018
Address: Ashmont Ariplex, Agriplex Rd, Ashmont , AB T0A0C0
Start Time: Competitors are asked to arrive within the hour prior to the start of
competition of 10:00am for weigh ins and athlete meetings.
Entry Fee: $60 is due upon registration. Please make payment via interact email
transfer to sloan.colten@hotmail.com

Prizes: 1st, 2nd and 3rd place awards in all categories.

Last Name:______________________

First Name:____________________________

Address:_________________________________________________________
______

City:___________________________ Province: ___________________

Phone number:__________________ Email

Address:_________________________

Date of Birth:_________________

Height:_________________________ Weight:_____________________

Emergency contact name and phone

number:_________________________________

Shirt size: S M L XL XXL XXXL

Competition History:
Personal Record Lifts:

Current Titles/Records:

Favorite event(s):
 APPLICATION WAIVER & RELEASE FORM
WARNING: THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS, READ IT CAREFULLY!
Participants must have attained the age of majority. Every participant must read and understand
this
Waiver and Release of Liability prior to participating in the event.
In consideration for being permitted to participate in the Ashley Albert-Hunter Fundraiser
Strongman Competition (the
“Event"), I hereby agree to assume all risks and responsibility, and to release and hold harmless
Ms. Ashley Albert-Hunter, Evolve Fitness, Ashmont Agriplex, their employees, sponsors, officials,
trainers, coaches, volunteers and affiliated parties (collectively, the "Organizers"), from any and
all claims, actions, causes of action proceedings, damages, costs, demands, including hospital
costs, court cost and costs on a solicitor and his own client basis, and liabilities of whatsoever
nature or kind arising out of or in any way connected with my participation in the Event.

I acknowledge and understand that there are inherent and significant risks associated with
participation in the Event, including (but not limited to) the potential for serious personal injury
caused by any equipment provided by the Organizers, and health risks including but not limited
to, light-headedness, fainting, increased or decreased blood pressure, chest discomfort, muscle
cramps, strains, sprains, abnormal heart rate, soreness, nausea, heart attack, stroke and possibly
death. I understand that such risks are relative to my level of fitness and health.

I understand that the officials, volunteers and other individuals involved in staging the Event are
not licensed and any suggestions or recommendations they may make regarding any aspect of
my technique or physical fitness are not being given as medical advice.

I verify that I am physically fit and capable of participating in the Event, and that my physician has
approved my participation. I acknowledge that I am solely responsible for my personal health and
safety. I agree to immediately inform an official, volunteer or other representative of the
Organizers immediately upon feeling any pain, discomfort, fatigue or other symptoms during or
immediately following the Event. I understand that I may stop participation at any time, and that I
may be requested to do so by any representative of the Organizers who observes symptoms of
distress or abnormal response from me during my participation.

I acknowledge that I am solely responsible for any loss of or damage to any personal property
that I bring with me.

I acknowledge that I am solely responsible for my own medical expenses and for any and all
medial expenses incurred on my behalf.

I do hereby, for myself and on behalf of my heirs, next of kin, executors, administrators and
assigns (collectively, the “Releasing Parties”), agree as follows:

a. to waive all claims that the Releasing Parties or any of them may have in future
against the Organizers;

b. to release and forever discharge the Organizers from all liability for personal
injury, death, property damage or loss resulting from my participation in the Event due to any
cause, including but not limited to negligence (failure to use such care as a reasonably prudent
and careful person would use under similar circumstances), breach of any duty imposed by law,
breach of contract or mistake or error of judgment on the part of the Organizers; and
 1. to be liable for and to hold harmless and indemnify the Organizers from all
actions, proceedings, claims, damages, costs, demands, including hospital costs, court costs and
costs of a solicitor and his own client basis, and liabilities of whatsoever nature or kind arising out
of or in any way connected with my participation in the Event.

1. to accept that I may be videotaped during the Event.

I hereby certify that I am at least 18 years of age, that I am suffering under no legal disabilities,
and that I have read this document carefully, understand each term and provision in its entirety,
have agreed to the terms freely and voluntarily. Having read the foregoing, I knowingly
acknowledge my understanding of the risks set forth herein and knowingly agree to accept full
responsibility for my own exposure to such risks.

SIGNED this _________ day of ___________________, 2018.

Print Name of Participant:

______________________________________________________________

Signature of Participant:
_____________________________________________________________