2023 Pre-Track Registration Form Required for all athletes, even those who participated in 2022 Youth XC. Participant Name * First Name Last Name Participant Birthdate * MM DD YYYY Participant Gender Female Male Participant Grade * 2 3 4 5 6 7 8 Parent/Guardian Name * First Name Last Name Parent Email Address * Parent Phone Number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Interest in 2023 Youth Track Program May-July? Gathering information on the interest and possibility to have first-ever BTC Youth Track Program from May-July. Yes No Unsure at this time Waiver * 2022-2023 YOUTH WAIVER RELEASE * For purposes of this “Participant Release” document, “Event” means, collectively, Bowerman Track Club, LLC and the “Bowerman Track Club Youth Program” being held at the NIKE World Headquarters in Beaverton, Oregon, Tryon Creek Park in Lake Oswego, Oregon, Edy Ridge School in Sherwood, Oregon, Snyder Park in Sherwood, Oregon, Mt Tabor Park in Portland, Oregon, Wilshire Park in Portland, Oregon, Forest Park in Portland, Oregon, parks, roads and training locations in Portland, Oregon, races and training throughout the state of Oregon and the United States. Included in the EVENT is any and all transportation to, from and between Event locations, all product testing at the Event, and all other activities related to the Event and to my participation in the Event for an indefinite period of time following signed date below. In consideration of the opportunity to participate in the Event, I, the undersigned participant, acknowledge and agree that: ELIGIBILITY. I understand and agree that if I am a student-athlete I am responsible for my own collegiate eligibility and/or amateur standing. I am aware of, and agree to comply with, all rules, regulations, and bylaws of my state association and of any national federation responsible for administering or regulating youth athletics, the NCAA or other regulatory authority, that may be applicable to my participation in the Event. I understand the consequences of any failure to comply with such rules, including but not limited to, loss of my eligibility to participate in future athletic contests in any sport at the high school, collegiate or other level and the loss of any connection to the Bowerman Track Club. I understand that NIKE or the Bowerman Track Club may offer a gift of nominal value to participants in the Event, and I agree to decline any such gift if I am subject to NCAA or other regulations that would restrict me from receiving it; however, I understand it is acceptable to receive a commemorative t-shirt. Failure to comply with these rules of eligibility will result in immediate removal from the Bowerman Track Club and its events. DETRIMENTAL CONDUCT. Bowerman Track Club, LLC reserves the right to sever ties with the participant at any time if it deems the participants conduct to be detrimental to the Events, operations and brand of Bowerman Track Club, LLC or its affiliates, subsidiaries, respective officers, directors, shareholders, employees, agents, representatives, contractors, successors, assigns, and insurers. Detrimental Conduct includes but is not limited to the failure to comply with state or federal law or failure to respect the rights and persons of other all club members and persons. ASSUMPTION OF RISK. Participation in or attendance at the Event involves inherent risks and dangers of accidents, personal and bodily injury (including death) and property loss or damage. These may result from my own actions or inactions, as well as the actions or inactions of others, the rules of play, and the condition of the facilities and equipment. Further, there may be other risks not known to me and not reasonably foreseeable at this time. I have considered the nature and extent of the risks involved, and I voluntarily choose to assume all such risks, both known and unknown, even those risks that result from the negligence of the Released Parties (defined below) or others and assume full responsibility for my participation in the Event. I consent to treatment in the event of an emergency or other incident in which, in the reasonable judgment of the on-site personnel, I require medical care. RELEASE FROM LIABILITY. I, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby fully and forever release and discharge the Bowerman Track Club, LLC, NIKE, Inc. and their affiliates, subsidiaries, respective officers, directors, employees, agents, representatives, contractors, successors, assigns, and insurers, all Event sponsors, advertisers, volunteers, and staff, and all owners or lessors of premises used in connection with the Event (collectively the “Released Parties”) from any and all claims or causes of action I may have for damages for personal or bodily injury, disability, death, loss or damage to person or property relating in any way to the Event, whether arising from the negligence of any or all of the Released Parties or otherwise, to the fullest extent permitted by law. AUTHORIZATION TO RECORD AND TO USE RECORDINGS and NAME. I hereby grant to Bowerman Track Club, LLC, its affiliates, subsidiaries, successors, assigns and licensees permission to film, photograph, video record and otherwise record my image, voice, or any other aspect of the recording at the Event and the perpetual right to use the Recording and my name in any manner or media and for any purposes without any additional consideration. I shall have no right of approval and no legal claim arising out of any use or editing of the Recording or my name. Bowerman Track Club, LLC shall have no obligation to use any of the rights I grant. I represent that it is not necessary for Bowerman Track Club, LLC to obtain permission from or to pay any third party in connection with the rights granted in this paragraph. ARBITRATION. In the event of any dispute between me and any of the Released Parties (defined above), such dispute shall be settled by arbitration administered by the American Arbitration Association under its Commercial Arbitration Rules (but not its Procedures for Large, Complex Commercial Disputes). The hearing shall be conducted in Portland, Oregon unless both parties consent to a different location. The decision of the arbitrator shall be final and binding upon all parties, and judgment upon the award rendered pursuant to such arbitration may be entered in any court of competent jurisdiction. I have read this Bowerman Track Club Youth Participant Release, fully understand and agree to its terms, and understand that I am giving up substantial rights by signing it. By selecting “I Agree” I am signing and accepting the Release Waiver freely and voluntarily. I Agree Legal Guardian Name *