In consideration of your accepting this entry, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights to claims for damage I have against any sponsor, or their representatives, for any and all injuries suffered by me in said event. I give permission for the free use of my name and/or photograph in any broadcast, telecast, or other account of this event. I further attest and certify that I am physically fit and have sufficiently trained for competition in the event I am entering.
By checking the disclaimer below it serves the same purpose as a signature.