Non-U.S. Achilles International Application For Athletes With Disabilities Membership
TERMS & CONDITIONS: I know that participating in Achilles International running or other athletic events is potentially hazardous. I agree not to enter any Achilles International race, activity, or sponsored event (each an “Event”) unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with participating, including, but not limited to: falls, contact with vehicles, other participants, spectators, or others, the effect of the weather, including high heat, extreme cold and/or humidity, or wet or slippery surfaces and traffic conditions of the road, all such risks being known and appreciated by me. Furthermore, I acknowledge that participation in an Event may present the risk of being exposed to the COVID-19 virus despite the implementation of guidelines designed to mitigate such risk and I knowingly assume such risk. I agree to refrain from participation in any Event if I have tested positive for the COVID-19 virus and have not quarantined for at least 14 days or if I am experiencing known symptoms of the COVID-19 virus, which include fever, shortness of breath, loss of taste or smell or sore throat.

I understand that (1) participation with Achilles International is strictly voluntary, and (2) I am only to receive/provide running companionship, advice, and encouragement from my fellow Achilles International athletes/volunteers/guides. If anything else is asked of me, or if I am otherwise uncomfortable or concerned, I will bring it to the immediate attention of my chapter leader.

I understand that Achilles International may perform background checks on all new applicants. The information on my application will be verified, and I give permission to make inquiry of others concerning my suitability to participate with Achilles International.

Having read this Waiver/Release and knowing these facts, and in consideration of your acceptance of my participation in the Event(s), I, for myself and anyone entitled to act on my behalf, do hereby waive, release, discharge, and agree to indemnify and hold harmless, and covenant not to sue (a) the local chapter of Achilles International to which I belong (including all local chapter directors, officers, leaders, members, athletes, volunteers, and guides), (b) Achilles International Inc., any of its officers, directors, employees or consultants; (c) all sponsors and officials of the Event(s); (c) the employees, and volunteers, including medical volunteers; and (d) all owners and lessors of premises on or in which any Event takes place, and other representatives, agents, and successors of each of the foregoing (the "Releasees"), from any and all present and future claims and liabilities of any kind, known or unknown, arising out of my participation in the Events, even though such claim or liability may arise out of negligence or fault on the part of any of the Releasees. By registering for a race through Achilles International, I hereby grant my permission to Achilles International to act as proxy on my behalf for that race with full authorization to execute consents, waivers and releases included in the race registration. I further grant permission to all the foregoing to use photographs, motion pictures, recordings, and any other record of my participation in Achilles International for any legitimate purpose, without remuneration.

If applicant is under the age of 18 years of age, OR otherwise potentially deemed incompetent and/or unable to legally consent for themselves, personal contact information for a parent or guardian must be provided before submission.

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Email *
Waiver Agreed To? *
Required
If applicant is under the age of 18, OR otherwise potentially deemed incompetent and/or unable to legally consent for themself, enter the name of parent or guardian, along with phone number below.
First Name *
Middle Initial
Last Name *
Address Line 1 *
Address Line 2
City *
Province / Region
Country *
Postal Code
Preferred Phone Number (please indicate type: mobile, home, work) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Disability: *
Do you use a handcycle, pushrim wheelchair or other equipment for racing? *
T-shirt size *
Name of Chapter *
Is there anything else you would like us to know?
If applicant is under 18 years of age or otherwise potentially deemed incompetent and/or unable to legally consent for themself, enter the name of parent or guardian, along with their email address below.
If you are acting as a 3rd party witness to a reading of the terms and conditions of membership, please provide your name and email address below.
Do you want to receive communications from Achilles International? *
A copy of your responses will be emailed to the address you provided.
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