Coquitlam Crunch Challenge 2024
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Additional Purchases

Race T-Shirt (unisex)
$18.00

New design and color for 2024. Limited quantity available.

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Waivers

Waiver items are required for this registration. Please enter the email address of the registrant or parent/guardian (if the registrant is under the age of majority). ?

Coquitlam Crunch Challenge Waiver Form 2024

Coquitlam Crunch Challenge Waiver Form 2024

RELEASE OF LIABILITY, WAIVER OF CLAIMS, 

ASSUMPTION OF RISK AND INDEMNITY AGREEMENT NEXUS INSURANCE BROKERS LTD.


Please note that by signing this agreement, you give up the right to sue for any injury or damages, whosoever caused.

I understand that this is NOT a closed course event, thus all Traffic/ Pedestrian Laws must be followed and I am also responsible for any minors that I am responsible for.

TO: Nexus Insurance Brokers Ltd., the Coquitlam Crunch Challenge, all event sponsors (the “Company”) and its directors, officers, employees, representatives and agents (Collectively called “the Agents”). and their affiliated parties and subsidiaries, and all of the respective officers, directors, employees, and agents, thereof, and Event sponsors, volunteers, contractors, subcontractors and their employees, representatives, agents and heirs.

I, hereby sign this agreement on behalf of myself, my Personal representatives, heirs and assigns.

1. I agree as a precondition to my participation in all events organized by "the Company" and/or ''the Agents" including, but not limited to: Coquitlam Crunch Diversity Challenge (collectively referred to as ''the Activities") and in further consideration of "the Company" allowing me to do so, that I will be strictly bound by the terms of this Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement ("the Agreement'')

2. I acknowledge that "the Activities" involve inherent risks and dangers that may cause serious injury and possible death to participants.

3. I fully understand the risks and dangers associated with my participation in "the Activities" and accept same entirely at my own risk.

4. I hereby waive any and all claims which I may have against ''the Company" and ''the Agents" and release "the Company" and "the Agents" from all liability for injury, death, property damage or any other loss sustained by me as a result of my participation in "the Activities", due to any cause whatsoever; including negligence, breach of contract, or breach or any statutory or other duty of care by ''the Company" and/or "the Agents".

5. I appreciate that ''the Agreement" limits the liability of "the Agents" to the same extent as it limits the liability of ''the Company", even though "the Agents" are not formal parties to ''the Agreement".

6. I give permission to this organization to use my photograph to be used for educational and promotional purposes without compensation.

I HAVE READ AND UNDERSTAND "THE AGREEMENT". I UNDERSTAND THAT THIS DOCUMENT CONTAINS A PROMISE NOT TO SUE "THE COMPANY" AND/OR "THE AGENTS" AND THAT IT CONSTITUTES A RELEASE OF LIABILITY AND AN INDEMNITY FOR ALL CLAIMS. IF I AM THE PARENT AND / OR GUARDIAN OF THE PARTICIPANT I HAVE READ AND UNDERSTAND AND EXECUTE "THE AGREEMENT" ON BEHALF OF CHILD / WARD.