IN
CONSIDERATION of being permitted to participate in any way in Express Show
& Go Bike Ride ("club") sponsored Bicycle Activities
("Activity") I for myself, my personal representatives, assigns,
heirs, and next of kin:
1.
ACKNOWLEDGE, agree, and represent that I understand the nature of Bicycling
Activities and that I am qualified, in good health, and proper physical
condition to participate in such Activity. I further acknowledge that the
Activity will be conducted over public roads and facilities open to the public
during the Activity and upon which the hazards of traveling are to be expected.
I further agree and warrant that if at any time I believe conditions to be
unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY
UNDERSTAND that: (a) BICYCLING ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS
BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH
("RISKS"); (b) these Risks and dangers may be caused by my own
actions, or inactions, the actions or inactions of others participating in the
Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF
THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL
AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this
time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR
LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the
Activity.
3. HEREBY
RELEASE, DISCHARGE, CONVENANT NOT TO SUE the club its administrators,
directors, agents, and employees, other participants, any sponsors,
advertisers, and, if applicable, owners and leasers of premises on which the
Activity takes place, (each considered one of the "RELEASEES" herein)
FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR
ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES"
OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that
if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND
INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the
Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from
any litigation expenses, attorney fees, loss, liability, damage, or cost which
any may incur as the result of such claim.
I HAVE
READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN
UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY
INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW
AND AGREE THAT IF ANY PORTION OF THE AGREEMENT IS HELD TO BE INVALID THE
BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
** ANSI approved helmets are required for participation
in all club rides **
1 Name
(please print) Signature
Email
address or Street address (print clearly) Emergency phone
number
2 Name
(please print) Signature
Email
address or Street address (print clearly) Emergency phone
number
3 Name
(please print)
Signature
Email
address or Street address (print clearly) Emergency phone
number
4 Name
(please print)
Signature
Email
address or Street address (print clearly) Emergency phone number
5 Name
(please print)
Signature
Email
address or Street address (print clearly) Emergency phone
number