Ultra Squad Registration

**NOTE** Only the team captain needs to fill out this form.

• You do not need a full team at the time of registration. Members can be added to your team as late as March 24, 2010
• The team captain does not need to fill out an additional runner registration form
• Once you submit your registration you will receive an email from us which details what your next steps are and provides you a link to the payment screen. These emails can take a few minutes to show up, and once in a while end up in a spam folder, but if you do not receive and email after registration please contact us.
  
  
  
  Name:
  Email Address:
  Street Address
  City
  State
  Zip Code
  Country
  Team Name
  Division	Men’s (All men) Women’s (All women) Open (Any mix men/women) Masters (All over 40) Running Club (All from same club) Corporate (Sponsored by business) Homeland Security (All police, fire, military, etc)
  Your 10k Time
  T-Shirt Size (Men’s)
  Age on Race Day
  Enter other team members below if known at this time
  Team Member 1
  Team Member 2
  Team Member 3
  Team Member 4
  Team Member 5
  I understand by submitting this form I am agreeing to all apsects of the waiver below.	Yes, I agree

  Waiver:

  By submitting this form I understand that I am agreeing to all terms and conditions of the following waiver:

  In consideration of being allowed to participate in any way in Ringer Event Management, LLC athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1) The risk of injury from the activities involved in this event is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and, 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS MIR Events, LLC their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. BY SUBMITTING MY REGISTRATION FORM I SWEAR THAT I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.