APPLICATION

If you are under 18 years of age, please fill out and submit this form in addition to answering the questions below.

ALL MEMBERS MUST READ AND DIGITALLY SIGN THIS WAIVER:
I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ALL SEOUL SYNERGY RUN/TRI CLUB 
(the “CLUB”) FUNCTIONS. I acknowledge that running; triathlon, multi-sport activities, and 
Club events are an extreme test of a person’s physical and mental limits and carry with it the 
potential for death, serious injury, and property loss. I certify that I am physically fit, have 
sufficiently trained for participation in this event(s) and have not been advised otherwise by a 
qualified medical person.  I WAIVE, RELEASE, AND DISCHARGE from any and all claims or
liabilities for death, personal injury, property damage, theft or damages of any kind, which 
arise out of or relate to my participation is, or my traveling to and from an organized Club 
function, THE FOLLOWING PERSONS OR ENTITIES; Seoul Synergy, Club sponsors, 
Michael R. Wright, volunteers, all states, provinces, cities, counties or localities in which Club 
functions or segments of Club functions are held, and the officers, directors, employees, 
representatives and agents of any of the above; a) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and b) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function.  I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS. If the applicant is under eighteen (18) years of age, their parent/guardian must sign this AWRL AND the additional release below.

ALL MEMBERS MUST READ AND SIGN THIS WAIVER:    I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ALL SEOUL SYNERGY RUN/TRI CLUB 
(the “CLUB”) FUNCTIONS. I acknowledge that running; triathlon, multi-sport activities, and 
Club events are an extreme test of a person’s physical and mental limits and carry with it the 
potential for death, serious injury, and property loss. I certify that I am physically fit, have 
sufficiently trained for participation in this event(s) and have not been advised otherwise by a 
qualified medical person.  I WAIVE, RELEASE, AND DISCHARGE from any and all claims or
liabilities for death, personal injury, property damage, theft or damages of any kind, which 
arise out of or relate to my participation is, or my traveling to and from an organized Club 
function, THE FOLLOWING PERSONS OR ENTITIES; Seoul Synergy, Club sponsors, 
Michael R. Wright, volunteers, all states, provinces, cities, counties or localities in which Club 
functions or segments of Club functions are held, and the officers, directors, employees, 
representatives and agents of any of the above; a) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and b) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function.  I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS. If the applicant is under eighteen (18) years of age, their parent/guardian must sign this AWRL AND the additional release below.

    • Membership Status
    • Designation
    • Training Level
    • Sex
  • I HAVE READ AND AGREE TO ABIDE BY THE APPLICATION WAIVER *

Payment Information

Michael R. Wright
서울특별시 용산구 이태원 2동
231-37  1층
140-857

Or

Michael R. Wright
HHC 1st Signal BDE
Unit # 15271
APO, AP 96205

Make checks payable to “Michael R. Wright” or use Seoul Synergy acct below