CJTC Insurance Waiver Form
Dear CJTC Members,

As a condition of your membership, we are required by our insurer that all members of Central Jersey Tri Club agree to and accept the below insurance waiver to participate in club events and activities. Please fill in the below fields and accept the waiver. If you do not agree to the waiver you will not be allowed to participate in club events and activities until it is accepted.

Your CJTC Board
required 1) Member First Name

required 2) Member Last Name

3) If you are not 18 years age, your signing guardians' full name who is accepting and signing this form must appear in the below field.

required 4) In consideration of you accepting this membership, I, the member, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Club and all of their agents assisting with the event, sponsors and their representatives 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 participating in the club. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I certify as a material condition to my being permitted to join this club that I am physically fit and sufficiently trained for participation in club events and that my physical condition has been verified by a licensed Medical Doctor. By submitting this membership form, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver. By checking this box, I agree to the waiver and that I am 18 or older, or that I am the parent/guardian of this participant.

required Please provide your email