USCAA
Waiver of Liability
 
In consideration of my acceptance of this form and USCAA membership application, I hereby, on behalf of myself, my heirs, executors, administrators and assigns, waive, release and hold harmless the USCAA, USCAA and event officials and organizers, Pleasanton Unified School District, the City of San Ramon, their directors, managers, officers, employees, representatives and agents from any and all claims for damages and or injuries arising from or out of my participation in and travel to and from the 2003 USCAA National Corporate Cup Relays.
Consent
I agree to the terms stated above.
Yes
No (choosing this makes you ineligible to compete in USCAA events)
Name
First

Last
Email
Company
Gender

Male Female

This information will not be distributed, sold, or used for any commercial purposes whatsoever.