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Volunteer with Hy-Vee Triathlon

| 2014 Hy-Vee Triathlon Race Day

August 31st, 2014
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IN CONSIDERATION of Hy-Vee, Inc., an Iowa corporation (hereinafter, “Hy-Vee” or “Event Organizer”) allowing me to participate as a volunteer in an event organized by Hy-Vee (the “Event” or “Events”), I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the “Agreement”);
1. I hereby represent that (i) I am in good health and in proper physical condition to participate in the Event; and (ii) I am not and, at the time of the Event, will not be under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to safely participate in the Event. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event.

2. I HEREBY ACKNOWLEDGE AND ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS EVENT. I understand and acknowledge the physical and mental rigors associated with the Event. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, pets/animals, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; 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 (“Risks”). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties defined below, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event.

3. I agree to be familiar with and abide by the Rules and Regulations established from time-to-time for the Event. I also accept sole responsibility for my own conduct and actions while participating in the Event, the conduct and actions of any minor child that I bring to the Event (if any), and the condition and adequacy of my own equipment.

4. I HEREBY RELEASE, WAIVE AND COVENANT NOT TO SUE, AND FURTHER AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS the following parties: the Event Organizers and Promoters, Event Directors, Sponsors, Advertisers, Host City(ies), Local Organizing Committees, Venues and Property Owners upon which the Event takes place, Law Enforcement Agencies and other Public Entities providing support for the Event, and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the “Released Parties”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys’ fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties. I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liability which any may be incurred as the result of such claim.
5. I hereby grant to Event Organizer the right, permission, and authority to use my name, image, voice, and/or likeness, without compensation, captured during the Event by Event Organizer, its affiliated entities or contractors, and/or the media in any photographs, videotapes, CDs, DVDs, broadcast, telecast, podcast, webcast, recordings, motion pictures, commercial advertisement, promotion materials, social media and/or any other record of this Event for any purpose whatsoever.

6. I acknowledge and agree that Event Organizer, in its sole discretion, may delay, modify, or cancel the Event for any reason, including if it believes the conditions on the Event day are unsafe. In such event, there shall be no refund of any costs I may have incurred in connection with the Event.

7. I understand that Event Organizer reserves the right, in its sole and complete discretion, to deny my entry, or revoke my access at any time, and/or to disqualify me from participating in the Event.

8. I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. An electronic signature shall be as effective as an actual signature. Delivery of this Agreement by facsimile, email, or any other electronic means shall be as effective as delivery of an executed original counterpart. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

9. A legal guardian who signs this Agreement on behalf of a minor, incapacitated and/or mentally challenged person (hereinafter "Said Person"), hereby acknowledges that he or she has the legal capacity and authority to act on behalf of Said Person and to legally bind Said Person to the Agreement. The legal guardian who signs this Agreement agrees to indemnify and hold harmless the Released Parties for any expenses incurred, Claims made, or liabilities assessed against them, as a result of any insufficiency of legal capacity or authority to act on behalf of Said Person in the execution of this Agreement.

10. I expressly consent, understand, and agree that (a) any and all disputes, claims, and causes of action arising out of or connected with the Event, any prize (if applicable), or the determination of the winner shall be resolved individually, without resort to any form of class action, and exclusively by arbitration pursuant to the Rules of the American Arbitration Association, then effective; (b) any and all claims, judgments and awards shall be limited to actual out-of-pocket costs incurred, including costs associated with entering the Event, but in no event attorney’s fees; and (c) under no circumstances will I be permitted to obtain awards for, and I expressly hereby waive all rights to claim punitive, incidental and consequential damages and any other damages, other than for actual out-of-pocket expenses, and any and all rights to have damages multiplied or otherwise increased. I hereby expressly agree that all issues and questions concerning the construction, validity, interpretation and enforceability of this Agreement, and of my and Hy-Vee’s respective rights and obligations in connection with the Event shall be governed by the laws of the State of Iowa, without regard to conflicts of law principles or rules, and the venue for any arbitration and for all proceedings shall take place in Des Moines, Polk County, Iowa.


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