• Athlete’s Release: I voluntarily agree to participate in the 2021 USA Track & Field Junior Olympic Championships and knowingly assume any and all risks of loss, damage to my person or property, injury (including death), both foreseen and unforeseen, of my attendance at and participation in the 2021 USA Track & Field Junior Olympic Championships, from any cause whatsoever, including the fault or negligence of Releases (as defined below). I, for myself, my heirs, personal representatives and assigns do hereby release, waive, discharge and covenant not to sue USA Track & Field, Inc., the local USATF Association, the Local Organizing Committee, the Facility and Championship Sponsors, their respective officers, directors, employees, agents and volunteers (collectively "Releases") from all liability, loss, claims, demands, possible causes of action, court costs, settlement costs and fees, attorneys fees and any other expenses arising from any claim or lawsuit that may arise from any loss, damage or injury (including death) to me or my property resulting from or arising in connection with, or related to, my attendance at or participation in the 2021 USA Track & Field Junior Olympic Championships. In the event that I am injured, I hereby consent to the provision of necessary and appropriate emergency medical treatment.

• By entering this competition, I grant USA Track & Field, Inc. a limited license to use my name, likeness, image, voice, video, athletic performance, biographical and other information, in any format whatsoever, and to distribute, broadcast and exhibit these without charge, restriction or liability, but only for the purposes of advertising or promoting the sport of Athletics. In no event, however, will such usage constitute an endorsement of any product or service without my specific written consent.

• Athletes who participate in this competition may be subject to drug testing.
Visit the competition's Athlete Information page (http://www.usatf.org/Events---Calendar/2021/2021-USATF-National-Junior-Olympic-Track---Field-C.aspx) for more information.
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Signature – ATHLETE Signature – Parent/Guardian
(Must be signed if athlete is under 18 years of age)

ADA request: I am requesting an accommodation for a disability as follows: ____________________________

Please note: All requests for accommodations must be received six weeks prior to the date of competition. Visit www.usatf.org/about/legal/policies/ADA.asp for forms and procedures)
List allergies and current medications: ___________________________________________________________________________________