FACE OF AMERICA 2003 WAIVER/AGREEMENT

By choosing “I Agree”, you agree, warrant and covenant as follows:

1. I, the undersigned participant, acknowledge that participating in the Face of America is a potentially hazardous activity and that I should not enter and participate in any manner unless I am medically and physically able and properly trained. I further agree that if at any time I believe conditions or equipment to be unsafe, I will immediately cease participation and will promptly notify a representative of World T.E.A.M. Sports (WTS) of such unsafe conditions or equipment. I further attest and verify that I am in good health and able to participate in the Face of America. In the event that I am unable to consent on my own because of an injury or illness, I consent to and authorize WTS and its representatives to obtain emergency medical treatment for me in case of any illness or injury resulting from or occurring during my participation in the Face of America. I understand and accept that any medical costs incurred with respect to emergency medical treatment will be my responsibility.

2. For any and all injury, death, illness, property damage, or any loss suffered or sustained by me which is in any way associated with my selection for, participation in, travel to and from, or other activity associated with WTS and the Face of America I do hereby, for myself, my heirs, assigns, next of kin, personal representatives, administrators, and executors, forever covenant not to sue and waive, release, and/or discharge any and all rights and claims for any expenses, damages, or other losses which I may have or which may hereinafter accrue against WTS and/or its representatives, officers, directors, employees, agents, sponsors, successors, assigns (the “Releases”), whether caused by the negligence of the Releases or otherwise. I agree to abide by all participant rules and policies adopted by WTS.

3. I assume all risks associated with my participation in the Face of America, including injuries to person and property, or death, whether caused by negligence of the Releases of otherwise.

4. I hereby consent to the rendering of such medical care to the Participant, including, but not limited to, routine diagnostic procedures, the administering of anesthesia, X-ray examination, performance of operations, emergency treatment and other such procedures and care as considered necessary by such medical personnel providing treatment in connection with the Face of America, including all training activities and events sponsored by World T.E.A.M. Sports.

5. I understand that the practice of medicine and surgery is not an exact science and that diagnosis and treatment may involve risk of injury or even death. I acknowledge that no guarantees have been made to me or Participant as to the result of such medical examination or treatment.

6. I understand that the medical personnel from whom Participant may receive treatment during the course of the Participant’s participation in the Face of America are not employees or agents of World T.E.A.M. Sports but, rather, are volunteers who are donating their time and medical services.

7. I hereby grant and convey to WTS free of charge all ownership rights in any photographs, videotapes, motion picture recordings, or any other record of my image as a participant in the Face of America in any medium and consent to the use of my name and image by WTS and its transferees without further compensation for any purpose. All photographs, resumes, and other submissions to WTS shall be the property of WTS.

8. This form has been explained to me and I am satisfied that I understand its contents and significance.


Fees

I am registering for Face of America 2003 as a rider. I agree to pay the $500 participation fee (refundable until September 1st) as well as raise a minimum of $1000 in non-refundable & non-transferable donations for Face of America 2003 by Monday, September 1, 2003. I understand that I am responsible for my own safety on this event & agree to wear a properly fitted cycling helmet while riding at all times.

         

If you are under 18 years of age, please print this waiver & return
to us by mail with parent/guardian’s signature.