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Registration Type Fee
RX Men $85.00
RX Women $85.00
Scaled Men $85.00
Scaled Women $85.00
Master Men $85.00
Master Women $85.00

Personal Info / Account Creation

Personal Info / Account Creation for Team

Team Member 1 (You):

Team Member 2:

Team Member 3:

Team Member 4:

Team Member 5:

Team Member 6:

Waiver

Participants involved in any activities offered by 2017 Pura Vida Cuatro may be photographed or videotaped during training. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the 2017 Pura Vida Cuatro website or in any editorial, promotional or advertising material produced and/or published by 2017 Pura Vida Cuatro.

Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in all aspects of physical training. These risks include, but are not limited to: falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment; strains and sprains. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity or class while at, or under direction of 2017 Pura Vida Cuatro.

I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger myself or others.

In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities offered by 2017 Pura Vida Cuatro, I, the undersigned hereby release 2017 Pura Vida Cuatro, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with 2017 Pura Vida Cuatro to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.

The participant recognizes that there is risk involved in the types of activities offered by 2017 Pura Vida Cuatro. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless 2017 Pura Vida Cuatro, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by 2017 Pura Vida Cuatro, at the main building or abroad. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training by 2017 Pura Vida Cuatro.

I have read and understood the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

Please read the whole waiver before continuing.

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Please ** NOTE **: There are No Refunds for this event. An alternate athlete, in your exact division, may be substituted up to two weeks prior to event date. Please email support@boxtribe.com to provide alternate athlete registration details.

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Billed To:
John Smith
1234 Main
Apt. 4B
Springfield, ST 54321
Shipped To:
Jane Smith
1234 Main
Apt. 4B
Springfield, ST 54321
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Billing Information

Some Name

XX45678

Card Company

18 August (08) 2019

Purchase Confirmation

Thank you very much for your purchase! Below is your receipt. We've also emailed a copy to you for your records. Please hang on to these in case you need to make any changes or have any questions in the future.

**NOTE** Charges on your Credit Card Statement will be noted as TF COMP REGISTER 407-906-3562 FL

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Billing Information

FRMYM-3077

Some Name

XX45678

Card Company

18 August (08) 2019