Ride Liability Waiver for Non-BRBC Members
All non-member ride participants MUST sign and date this waiver
Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement.
All participants must wear a helmet.
In consideration of being permitted to participate in any
way in Blue Ridge Bicycle Club sponsored Bicycling Activities ("Activity")
I, for myself, my personal representatives, assigns, heirs, and next of
kin:
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Acknowledge, agree, and represent that I understand the nature
of Bicycling Activities and that I am qualified, in good health, and in
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.
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Fully Understand that:
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Bicycling Activities involve risks and dangers of serious
bodily injury, including permanent disability, paralysis and death ("risks");
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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;
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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 THE LOSSES, COSTS
AND DAMAGES I incur as a result of my participation in the Activity.
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HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club,
the League of American Bicyclists, their respective administrators, directors,
agents, officers, volunteers and employees, other participants, any sponsors,
advertisers, and, if applicable, owners and lessors of premises on which
the Activity takes place (each considered on 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 Releasees, 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
THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL
CONTINUE IN FULL FORCE.
RIDE : ________________________________ LOCATION: ___________________________
NAME (printed): ____________________________________
Signature :
____________________________________ Date: _________
NAME (printed): ____________________________________
Signature :
____________________________________ Date: _________
NAME (printed): ____________________________________
Signature :
____________________________________ Date: _________
NAME (printed): ____________________________________
Signature :
____________________________________ Date: _________
NAME (printed): ____________________________________
Signature :
____________________________________ Date: _________
Minors (under 15) must have a parent or legal guardian with
them on all BRBC rides.
Parent's/Legal Guardian's NAME (printed): __________________________________________
Parent's/Legal Guardian's Signature: _________________________________
Date: _________
Minor's Name (printed): _________________________________ Age:
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