NBG Home > Events > Mayors Ride > Waiver
WAIVER AND RELEASE FROM LIABILITY
(read carefully, fill out, sign, and return).
I ACKNOWLEDGE that the bike ride I am about to participate in
involves a dangerous activity. I acknowledge that this ride carries with it the
potential for death, serious injury, property damage, and property loss. I
hereby assume all the risks of doing this ride, regardless of their cause. I
promise to ride in a safe and prudent manner, so as not to endanger myself or
others. I agree to wear a helmet at all times while riding. In consideration of
my application to participate in this ride, I hereby execute this Waiver and
Release from Liability on behalf of myself, my personal representatives, my
administrators, my heirs, my next of kin, my survivors, my successors, and my
assigns, as follows:
(A) I WAIVE, RELEASE, DISCLAIM and FOREVER DISCHARGE from any and all liability
for hereafter accrued to me while riding in any rides sponsored by the National
Bicycle Greenway, the following entities or persons: National Bicycle Greenway,
Martin Kreig, and all other directors, officers, employees, volunteers,
representatives, agents, assigns, and sponsors of National Bicycle Greenway.
Together with vendors and manufacturers, and their respective directors,
officers, employees, representatives, agents, and assigns.
(B) I INDEMNIFY AND HOLD HARMLESS the entities and persons specified in
paragraph A above from any and all liability, loss, demand, claim or action at
law or in equity that may hereafter be made or brought by those individuals or
entities as a result of any of my actions during this ride. This indemnification
and hold harmless agreement obligates me to defend any action brought against
the entities and persons specified in paragraph A above as result of any of my
actions during this ride. Should I refuse to undertake my responsibilities under
this paragraph, I will be liable for attorneys' fees and costs incurred by the
entities and persons specified in paragraph A above in defending any action
brought against them as a result of any of my actions or those of my family
members during this ride.
(C) I CONSENT to receive medical treatment that may be deemed advisable as a
result of any injuries I receive during this ride and agree that I am solely
responsible for all costs, including diagnosis, treatment, medical
transportation, and evacuation, that may become necessary for me or another
person as a result of any of my actions during this ride.
(D) I AGREE that any photographs and video footage taken of me during my ride
may be printed, reproduced and published in any manner anywhere without any
further consent by me or my family members and without any compensation to me.
(E) I CERTIFY that I have read this document, understand its contents in their
entirety and have executed this document below without reservation or duress.
Signature __________________________
Printed Name__________________________ Date___________
Address __________________________
City __________________________ State_________
Zip _____________
Medical conditions or allergies_____________________________
____________________________________________________________
Witness _____________________________
Printed Name _____________________________ Date___________
Witness _____________________________
Printed Name _____________________________ Date___________
Please print, fill out and send to:
Cycle America
POB 3346
Santa Cruz CA 95063
Visit our sponsor!
 | A century ago, bicycling was an important part of American culture. The National Bicycle Greenway can return us to that rich heritage. |
|
|