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Please complete all required fields!
All dates and times noted are in Pacific Timezone (PST)
Required fields are marked with: (Required)
Required: valid membership with US Speed Skating (opens in a new window/tab), or equivalent organization for non-US participants.
Example: 1:05.09
Enter 9999 if you don't have a helmet number.
NOTE: THIS FORM MUST BE READ AND ACKNOWLEDGED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN ANY USS SANCTIONED ACTIVITIES WITH THE SANTA CLARITA SPEED SKATING CLUB.
IN CONSIDERATION of my involvement in the sport, activities, and events under the auspices of U.S. Speedskating and/or a USS Association and/or a USS Club, INCLUDING the USS Club known as the Santa Clarita Speed Skating Club, I acknowledge, appreciate, and agree that:
By my e-Signature below, I acknowledge that I have read this Release of Liability and Waiver Agreement and fully understand and agree to its terms.
This is to certify that I/we as parent(s)/guardian(s) with legal responsibility for this participant, do consent and agree not only to his/her release, but also for myself/ourselves, and my/our heirs, assigns and next of kin to release and indemnify the Releasees from any and all Liability incident to my/our minor child’s involvement as stated above.