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Registration

ATHLETE INFORMATION
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PARENT INFORMATION

ATHLETE AUTHORIZATION, INJURY WAIVER & GENERAL RELEASE FORM

As a participant of Speed Plus Inc., I acknowledge that participation in this event exposes me to a possible risk of personal injury. I, hereby release Speed Plus Inc. and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, from any and all liability from property damage, personal injuries or other claims arising from or in connection with my participation in the event including claims that are known and unknown, foreseen and unforeseen, future or contingent.

I covenant that I will not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against the company and its officers, directors, employees, agents, licensees, subsidiaries, consultants, independent contractors and affiliates, arising out of or relating to the actions, causes of action, claims and demands hereby waived, released or quitclaim and irrevocably release to Speed Plus Inc. and their sponsors of this Event, including, without limitation Speed Plus Inc. the right and authority (but not the obligation) in perpetuity throughout the world, in all media, now or hereafter known, to use, sell, reproduce, and dispute (in any manner they deem appropriate, and without limitations), quoted material, biographical information, my actual or fictitious name, my photograph, likeness, recorded voice or videotape filmed appearances obtained in connection with this event (the "Materials"), to used in connection with a Grantee's programs, products and promotional and advertising purposes as the Grantee, in its sold discretion, will deem appropriate. For good and adequate consideration, which I acknowledge I have received, I hereby grant, release, and quitclaim to Speed Plus Inc. the right and authority to use, sell, reproduce, and distribute, quoted material, biographical information, my photograph, likeness, recorded voice or videotaped filmed appearances obtained in connection with the Event (the "Materials") for promotional and advertising purposes or programs as Speed Plus Inc. in its sole discretion will deem appropriate.

I acknowledge that I have read and fully understand this Player Authorization, Injury Waiver, and General Release Form. This agreement will be blinding on me, my spouse, my children, legal representatives, heirs, successors and assigns.

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