National Girls and Women in Sports Day Registration

Select the locations you plan to visit during the week of February 2-8. More details will be sent via email. *

API Elite

Crunch Fitness

Fleet Feet

HotWorx

Jazzercise

Lotus Hot Yoga

MizzouRec

OHM Fitness

Orangetheory Fitness

Pure Barre

Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Waiver & Liability *

LIABILITY AND PUBLICITY AGREEMENT WAIVER OF LIABILITY In return for being allowed to participate in National Girls and Women in Sport Day activities described by this registration process, and all related activities, including any by WIN for Columbia, and all related activities, including any activities incidental to such participation (“Participant Activities”), the under-signed Participant or Parent/Legal Guardian of Participant if Participant is under age 18 (hereafter referred to using “I”, “me”, or “my”) releases and agrees to indemnify WIN for Columbia or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates (“WIN for Columbia”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the Participant Activities wherever, whenever, or however the same may occur. I understand and agree that WIN for Columbia is not responsible for any injury or property damage arising out of the Participant Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in the Participant Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Participant Activities with knowledge of the danger involved and I agree to accept all risks of participation. I also agree to indemnify and hold harmless WIN for Columbia for all claims arising out of my participation in the Participant Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state of Missouri and agree that if any portion of this Agreement is invalid, the remainder will survive and continue in full legal force and effect. I also acknowledge that WIN for Columbia has not arranged and does not carry any insurance of any kind for my benefit or that of Participant (if Participant is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Participant Activities. I understand that this document is a contract which grants certain rights to and eliminates the liability of the Foundation. Publicity Release In return for being allowed to participate in WIN for Columbia Participant Activities and all related activities, including any activities incidental to such participation (“Participant Activities”), the undersigned Participant or Parent/Legal Guardian of Volunteer if Participant is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to WIN for Columbia, and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, address, voice, photograph and/or likeness, caricature, and personal information, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Participant Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties. Agreement I understand that this document is intended to be as broad and inclusive as permitted by the laws of the of Missouri, and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies. I have read and agree with the above statements. (required)

I agree to the waiver and liability information.

I am over 18 years old *

WIN encourages the participation of girls and women in the Columbia area of all ages. Some gym partners may have age restrictions, or require a parental waiver.

Yes

No