RELEASE OF LIABILITY- READ BEFORE SIGNING
In consideration of being allowed to participate in any way in the Black Bear Cycling
program, its related events and activities, I, _____________________________________,
the undersigned, acknowledge, appreciate, and agree that:
- The risk of injury from the activities involved in this program is significant,
including the potential for permanent paralysis and death, and while particular
skills, equipment, and personal discipline may reduce this risk, the risk of serious
injury does exist; and,
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, BOTH
KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE
OF THE RELEASEES OR OTHERS, AND ASSUME FULL
RESPONSIBILITY FOR MY PARTICIPATION; and,
- I willingly agree to comply with the stated and customary terms and conditions
for participation. If, however, I observe any unusual significant hazard during my
presence or participation, I will remove myself from participation and bring such
to the attention of the representatives of Black Bear Cycling immediately; and,
- I, for myself and on behalf of my heirs, assigns, personal representatives and next
of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS BLACK
BEAR CYCLING, THEIR OFFICERS, OFFICIALS, AGENTS, AND/OR
EMPLOYEES, OTHER PARTICIPANTS, SPONSORING AGENCIES,
SPONSORS, ADVERTISERS, AND, IF APPLICABLE, OWNERS AND
LESSORS OF PREMISES USED FOR THE ACTIVITY (RELEASEES), WITH
RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or
damage to person or property associated with my presence or participation,
WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
_____________________________ | ______ | _____________
Participant's Signature | Age | Date Signed
FOR PARENTS/GUARDIANS OF PATICIPANTS OF MINORITY AGE
This is to certify that I, as parent/guardian with legal responsibility for this
participant, do consent and agree to his/her release as provided above of all
Releasees, and for myself, my child and our heirs, assigns, and next of kin. I release
and agree to indemnify and hold harmless the Releasees from any and all liabilities
incident to my minor child's involvement or participation in these programs as
provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE
RELEASEES, to the fullest extent permitted by law.
___________________________ | _________________________ | _________
Parent/Guardian's Signature | Printed Name | Date Signed