I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss.


The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to athletics, but are also present for volunteers. I hereby assume all of the risks of participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault.

I certify that I am a registered and current member of USA Track & Field (USATF) and the Amateur Athletic Union (AAU), physically fit, have sufficiently trained for participation in the event(s) and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors, and organizers in which I may participate and that it will govern my actions and responsibilities at said events.  In consideration of my application and permitting me to participate in this club, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) Waive, Release and Discharge from any and all liability for my death, disability, damage property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: NEPA THROWS CLUB their administration, employees, volunteers and representatives, the event holders, event sponsors, event directors, and/or event volunteers;                                                                                                                             

(B) Indemnify and Hold Harmless the entities or persons mentioned in this document from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during this event;



(C) Acknowledge that General Liability coverage is provided for properly registered athletes, non-athletes (i.e. coaches), people affiliated with the AAU through its members and clubs covering claims due to damage or injury caused by negligence or acts of omission during performance of duties or conductingbusiness (i.e. running an event or hosting a practice). Insured includes athletes and non-athletes, member clubs/teams, event organizers, promoters, facilities, sponsors and managers during AAU sanctioned events, volunteers while acting in their capacity at an AAU sanctioned event, Amateur Athletic Union of the United States, Inc, AAU Districts, Governors and Administrators, AAU Directors and Officers, officials while acting in their capacity at an AAU-sanctioned event, spectators, people affiliated with the AAU through its members, and other parties named through the additional insured/named third party certificate program. Activities covered are events approved/sanctioned by AAU, supervised practices by AAU clubs/members,  and extended Coverage Program (AB); and

(D) Understand that USA Track & Field, in an effort to promote the sport of Track & Field, Long Distance Running and Race Walking has purchased an Excess Accidental Medical Expense and Accidental Death and Dismemberment Insurance policy for its athlete members and registered officials. This insurance coverage is secondary to other insurance such as health coverage, disability or similar, governmental plan or program; or coverage provided or required by any law or statute and Workers’ Compensation. Covered persons must first submit their claim to all other insurance companies before claims on this policy will be processed. Coverage is provided for excess accidental medical expense incurred (and accidental death and dismemberment) as the result of an accidental bodily injury occurring while you are participating in sanctioned events and registered practices scheduled by USATF member Clubs. Practices must be under the supervision of your Club's coaches or managers. Coverage includes travel directly to and from such sanctioned events and practices. Coverage is also provided while you are competing as a member of an approved international competition, while training at USOC training centers, and while participating in USATF Committee activities.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and/or illness during this club membership period.  This Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

Athlete Name *
Athlete Name
Parent/Guardian Name (if minor) *
Parent/Guardian Name (if minor)
Date *