Register For
2025 Subaru CASA Cycling Challenge

Lafayette, IN 47905

Registrant #1

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Choose Your Event *

Saturday August 2, 2025 - Sunday August 3, 2025

$160.00 + $12.40 SignUp Fee

Saturday August 2, 2025 - Sunday August 3, 2025

$80.00 + $7.00 SignUp Fee

Saturday August 2, 2025 - Sunday August 3, 2025

$160.00 + $12.40 SignUp Fee

Saturday August 2, 2025 - Sunday August 3, 2025

$160.00 + $12.40 SignUp Fee

Saturday August 2, 2025 - Sunday August 3, 2025

$80.00 + $7.00 SignUp Fee


Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.


Waiver

RELEASE & WAIVER OF LIABILITY

As a participant in the 2025 Subaru CASA Cycle Challenge, being held on the premises of Subaru of Indiana Automotive, Inc., (“SIA”), I verify that I have read, understand, and accept the terms of this Release & Waiver of Liability.

 I understand that use of SIA’s premises and participation in the Event, involves risks and dangers of serious bodily injury, including permanent disability, paralysis, death, and property damage (“Risks”), which Risks may be caused by my own actions or inactions, the actions or inactions of other participants, volunteers, or spectators at the Event, the conditions in which the Event takes place, or the negligence of SIA. I fully accept and assume such Risks and all responsibility for losses, costs, and damages I incur as a result of participation in the Event.

I hereby release and forever discharge and hold harmless SIA and its parent and affiliated companies (including but not limited to Subaru Corporation, Subaru of America, Inc. and Subaru Forwarding, Inc.), subsidiaries, Event volunteers, Event sponsors, employees, instructors, agents, associates, officers, directors, successors and assigns (collectively referred to herein as “SIA”) from any and all liability, loss, claims, costs, attorneys’ fees, expenses, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my participation in the Event. I understand that this Release discharges SIA from any liability or claim that I may have against SIA with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Event, whether caused by the negligence of SIA or its affiliates, directors, officers, sponsors, employees, agents, or otherwise. I understand that SIA does not assume any responsibility for or obligation to provide financial or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. I agree to defend, indemnify and hold harmless SIA from loss, liability damage, or cost they may incur due to my presence at the Event, whether caused by the negligence of SIA or otherwise.

I hereby release and forever discharge SIA from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Event. I understand that, except as otherwise agreed to by SIA in writing, SIA does not carry or maintain health, medical, or disability insurance coverage for any participant, volunteer, and/or spectator. I grant and convey unto SIA all right, title, and interest in any and all photographic images and video or audio recordings made by SIA during the Event at SIA, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

I understand that the following items are absolutely not permitted at the Event: alcohol, tobacco products, illegal drugs, and firearms.

I recognize that participation in the Event includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While rules and precautions may reduce this risk, I understand that the risks include but are not limited to serious and potentially life-threatening illness, long-term health effects, and even death. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL OF THE PROVISIONS CONTAINED IN THIS RELEASE & WAIVER OF LIABILITY, AND THAT I HAVE FREELY AND VOLUNTARILY CHOSEN TO AGREE TO THE SAME. I FULLY UNDERSTAND THAT THIS IS A FULL AND COMPLETE CONSENT AND RELEASE OF ANY AND ALL CLAIMS AGAINST SIA AS A PARTICIPANT IN THE EVENT. ___________________________________ ___________________________________ ____________________ Printed Name of Participant Signature of Participant Date __________________________________________________________________ ____________________ Street Address Phone __________________________________________________________________ SIA Associate: □ Yes □ No City, State, ZIP

ONLY COMPLETE SECTION BELOW IF YOU ARE A PARENT OR GUARDIAN OF A PARTICIPANT UNDER THE AGE OF EIGHTEEN (18). I, THE PARENT OR GUARDIAN OF THE ABOVE-NAMED PARTICIPANT ACKNOWLEDGE THAT I HAVE REVIEWED, UNDERSTAND, AND AGREE TO ALL OF THE PROVISIONS CONTAINED IN THIS RELEASE & WAIVER OF LIABILITY, AND HAVE THE LEGAL AUTHORITY TO ENTER INTO THIS AGREEMENT ON BEHALF OF THE MINOR. __________________________________ ____________________________________ ____________________ Printed Name of Parent/Guardian Signature of Parent/Guardian Date




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