TEST - INTAKE FORM - The Reds Tri Team

Athlete Intake

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Age *

Date of Birth *

USA Triathlon Number & Expiration Date *

Address *

City, State *

Zip *

Emergency Contact Name *

Emergency Contact phone *

A Race *

Date of "A Race" *

Additional Races / Dates (For Tier II, up to 3 non-A races will be included in schedule) *

Squad / Coaching Option I am registering for *

Date you would like to start? *

Tell us a little about your sports back ground to help us better understand your training needs. *

In the past 3 months, how many times per week have you been swimming / biking / running? What distances are you covering? *

Would you prefer using Trainer Road workouts for the bike? *

Medical History > if in doubt, put it in. If working with someone to manage needs, please note that. *

RELEASE OF LIABILITY

The Reds Tri Team
Redladies, LLC

In consideration of The RedLadies (LLC) / Reds Triathlon Team providing coaching and training services and/or equipment to me and allowing me to participate in The RedLadies, LLC / Reds Triathlon Team coaching and training programs and related activities (collectively “Programs”), and for other consideration, the sufficiency of which is hereby acknowledged, I, the undersigned participant, on my behalf and on behalf of my heirs, personal representatives, spouse, successors and assigns (collectively “Heirs”), acknowledge and agree as follows:
1. That risks exist in my participation in the Programs and/or use of the equipment, including, but not limited to, the risk of serious bodily injury or illness, accidents, equipment failure, physical exertion, dehydration, oxygen shortage, animal bites and attacks, wounds, abrasions, partial or total paralysis, fractures, disease, strain, head injuries, neck and spinal injuries, death, serious disability, and other inherent risks involved in multi-sport activities and that such risks may be caused by: the negligence of coaches, trainers, premise owners, employees, agents, the Releasees, the other participants in the Programs, or others, or by accidents, faulty or malfunctioning equipment, road hazards, ground or facility conditions, surface grade, weather conditions, collisions with persons or objects, forces of nature, imprudent behavior by others, loss of control of equipment, varied degrees of skill and experience of other participants and myself, other participants not acting within their ability, unsafe training conditions, physical exertion , animal or insect bites, other individuals including other Multisport athletes, fatigue, chills, dizziness, dehydration, oxygen shortage, improper training, training programs not suited to my skill and experience, pre-existing medical conditions, diminished reaction times or riding abilities due to any of the foregoing, and other foreseeable or unforeseeable causes.
2. I knowingly and freely assume all such risks, both known and unknown, even those arising from the negligence of the Releasees or others, including, without limitation the entire risk of any accidents, personal injury, or death I might suffer, and assume full responsibility for my participation in the Programs and any training activity.
3. I, for myself and my Heirs, hereby release and agree to indemnify, reimburse, and hold harmless The Reds Tri Team, its owners, members, managers, coaches, trainers, contractors, employees, agents, volunteers, other participants, successors and assigns, and any owners and lessors of premises or facilities used for any program activity (collectively “Releasees”) from any and all claims, suits, liability, damages, or causes of action for bodily injury, property damage, wrongful death, loss of services or otherwise (collectively “Claims”) that I or my Heirs now have or may later have against the Releasees, arising out of my presence or participation in the Programs, any training or coaching instructions given by Releasees, and/or my use of the equipment, premises and facilities of Releases, whether caused by the negligence or carelessness of the Releasees or anyone else.

Please sign below to indicate you agree to the following:
1. I will wear a properly fitted ANSI helmet and Road ID during all training rides and competitions to help protect against serious head injury, and assume all responsibility and liability for the selection of such a helmet. I will put safety lights on the front and rear of my bike and have them on at all times while riding. When I ride I will carry a cell phone, road map, and money to ensure my safety and the safety of other riders and participants.
2. I have no physical or medical condition which, to my knowledge, would endanger myself if I follow a training program provided by The Reds Tri Team (RedLadies, LLC). I am aware that while training and racing my heart will reach maximum levels and I assume the potential risks of all medical and physical complications. I am aware it is my responsibility to consult a physician and obtain approval prior to participating in The RedLadies activities.
3. I also assume responsibility and risks for maintaining my bicycle and other triathlon and training equipment, and for taking all safety precautions necessary to protect myself and others from injury while involved in any training activity.
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 signing it freely and voluntarily without any inducement. I intend this Release and all of its terms, including the Claims waived, to be interpreted and enforced to the broadest and fullest extent allowed by Kansas or Missouri state law. By signing below, I intend to release The RedLadies, The Reds Triathlon Team and the other Releasees from all liability for injury, property damage, or death caused by their negligence or any other cause.

I, THE UNDERSIGNED, AGREE TO THE TERMS ABOVE *

Once you hit submit, you will see a confirmation message containing information for your next 2 steps: 1. Setting up or linking a (free) Training Peaks Account to the team so we can upload your plan and 2. Setting up monthly auto-pay through PayPal. Please note there is no fine print with payment - you can stop payment at any time > no advanced notice, shenanigans, or hoop jumping required ( Please let us know you're taking a break so we know where you went :). Lastly, be sure we add you to the Reds private Facebook page where we post educational tidbits, coordinate training, and support and push each other!

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