EACH COMPETITOR MUST READ THIS WAIVER AND RELEASE FORM
In using the QR code to scan this form, the athlete affirms to have read the form and agrees to abide by the conditions herein.
I verify the competition(s) in which I am entered and that I am a registered athlete according to FISU Rules and Regulations; that in consideration of acceptance of this entry, I, intending to be legally bound, do hereby for myself and my heirs, executors and administrators, waive, release, and forever discharge any and all rights and claims for damages which we or any of us may hereafter have against FISU, the Adirondack/1,000 Islands Sports & Events Commission, Inc. (“ADKSC”), the New York State Olympic Regional Development Authority (“ORDA”), any municipality in which the 2023 Winter World University Games are located, and/or their respective officers, agents, representatives, successors and/or assigns, for any and all damages which may be sustained or suffered by me in connection with, or entry in and/or arising out of my traveling to, participating in, and returning from said competitions.
I hereby acknowledge that all information on this form is applicable to my participation in the 2023 Winter World University Games including, but not limited to all competitions, exhibitions and test events (“Competitions”). I agree to abide by the regulations specified in this document and in the Rules and Regulations of FISU for the management of conduct for University competitions.
I declare that I am eligible and in good standing with regulations laid down by FISU. I also declare I am not under suspension or disciplinary action imposed for use of illegal drugs or other athlete regulation infractions. I agree to sign additional documents to this effect when required to do so by ADKSC or FISU.
I understand that it is my duty to comply with all anti-doping rules of the World Anti-Doping Agency (“WADA”), FISU, the United States Olympic and Paralympic Committee (“USOPC”), including the USOPC National Anti-Doping Policy, and the U.S. Anti-Doping Agency (“USADA”), and all other policies and rules adopted by WADA, FISU, the USOPC and USADA.
I do not currently engage in, nor do I intend to use any prohibited substances and methods. I acknowledge that the use of prohibited substances or prohibited methods may subject me to disqualification and other sanctions imposed by ADKSC, USADA or FISU.
I understand that ADKSC will conduct drug testing on athletes during and outside of competition. By registering for competition, I hereby consent to and authorize ADKSC to test me for prohibited substances and prohibited methods at any time. I further acknowledge and agree that my refusal to participate in a drug test may subject me to disqualification and sanctions, the same as if I had tested positive for a prohibited substance. I hereby authorize ADKSC to include the results of any drug testing of me in the published statistics for drug testing and to include my name in the list of athletes who have been drug tested. In the event I refuse to submit to a drug test, or a drug test has a positive result, I recognize that I am subject to the adjudication processes established by the USADA and FISU, because of my refusal or positive test. I acknowledge that I will be prohibited from participating in any training or competition(s) while under the influence of alcohol and/or drugs and I am responsible for observing, reading, and abiding by any and all notices as may be posted at the Competitions that may pertain to my responsibilities as a participant.
As may be required by state law, ADKSC has a written concussion and head injury protocol. I acknowledge that if I have any questions regarding the signs or symptoms of a concussion or other head injuries, the need to seek medical attention and the protocol for returning to competition, I will consult with a licensed health care provider.
I understand and agree not to use or authorize use of pictures of myself in my uniforms or with equipment provided to me for the purpose of trade, without the consent of ADKSC. I agree not to use the medals or photos, portraits or films of me with the medals, which I receive from my performance in this Competition, for the purpose of trade. I further acknowledge that it is my responsibility to provide, utilize, examine, inspect and maintain any equipment and clothing necessary for safe participation in training or competition(s).
I certify that, to the best of my knowledge and belief, I am in good health and in proper physical condition for the anticipated conditions of the Competitions, and I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate. I understand and acknowledge the physical and mental rigors associated with my sport and realize that events such as the Competitions are inherently dangerous and represent an extreme test of a person’s physical and mental limits. I understand and acknowledge that I may be exposed to extreme conditions and circumstances; hazardous natural or manmade objects; and dangers arising from adverse weather conditions, imperfect course conditions, water hazards, inadequate safety measures, situations beyond the immediate control of the event organizers, and other undefined harm or damage which may not be readily foreseeable; and other presently unknown risks and dangers. I understand that participation involves risks and dangers which include, without limitation, muscle tears, strains, sprains, fractures, broken bones, spinal cord injuries, head injuries, cardiovascular complications, high blood pressure, dehydration, dizziness and fainting; injuries from falls; exposure to and contraction of COVID-19 or other communicable diseases passed on via other participants and use of shared space, surfaces, or equipment; injuries that could occur from coming into contact with the equipment used for the competition(s); injuries from running, walking, or sliding on ice or snow surfaces, or changes to or wear that may routinely occur on or in such surfaces, including natural or manmade objects that are incidental to the provision or maintenance of a ski facility; injuries from collisions with other participants; injuries from falls including falls from heights; property damage; and risks that independently or in combination can result in sustaining injury, or in rare situations, sustaining injuries that result in death. I understand that these risks may be caused in whole or in part by my own actions or inactions, as well as the actions or inactions of others participating in the Competitions. I voluntarily and knowingly recognize, accept and assume these risks. I agree to be familiar with and abide by the rules and regulations established for the Competitions. I also accept sole responsibility for my own conduct and actions while participating in the Competitions.
The Waiver and Release Form shall be construed in accordance with and subject to the laws of the State of New York. If any paragraph, section, sentence, clause, or phrase contained in this Waiver and Release Form becomes or is held by any court of competent jurisdiction to be illegal, null, or void or against public policy, the remaining paragraphs, sections, sentences, clauses, or phrases contained in this Waiver and Release Form shall not be affected thereby.