Cmbc Release Form - Central Minnesota Bicycle Club printable pdf download

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AND PARENTAL CONSENT

AGREEMENT (“AGREEMENT”)

IN CONSIDERATION of being permitted to participate in any way in the Central Minnesota Bicycle Club (“Club”)

organized Activities (“Activity”) I, myself, my personal representatives, assigns:

1. I ACKNOWLEDGE that the Club is not a separate legal entity, but consists of an informal association of individuals

who are personally interested in bicycling and one or more of such individuals organized the Activity.

2. I ACKNOWLEDGE and agree that the individuals referenced above are the parties intended to be beneﬁted by this

Agreement and released hereunder (the Individuals collectively with the Club the “Released Parties”).

3. I 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 the conditions to be unsafe, I will

immediately discontinue further participation in the Activity.

4. I 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 RELEASED PARTIES; (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 or

that of the minor in the Activity.

5. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE, NOW OR IN THE FUTURE, the Released Parties including

any claims, volunteers, and employees, other participants, and, if applicable, owners and lessors of premises on which

the Activity takes place, (each considered to be one of the “Released Parties” 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 “RELEASED PARTIES” 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 Released Parties, I WILL INDEMNIFY,SAVE, AND HOLD HARMLESS

EACH OF THE RELEASED PARTIES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any

may occur as the result of any such claim, including any subrogation claims.

6. I ACKNOWLEDGE and agree that this Agreement shall continue to be effective and apply to all future Activities I may

participate in without the necessity of signing separate Agreements for each Activity. I Agree that that the Released

Parties shall rely on this Agreement to protect them from liability for such future events.

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, IRREVOCABLE 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 AND EFFECT.

PRINTED NAME OF PARTICIPANT:___________________________________________DATE:_______________

ADDRESS:__________________________________________________________________________________

PHONE:______________________ PARTICIPANTS SIGNATURE:_______________________________________

(only if age 18 or over)

MINOR RELEASE

AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THE

MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER

PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE,

AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASED PARTIES FROM ALL LIABILITY,

CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE

OR IN PART BY THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE

OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF

MAKES A CLAIM AGAINST ANY OF THE RELEASED PARTIES, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE

RELEASED PARTIES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY

INCUR AS THE RESULT OF ANY SUCH CLAIM.

PRINTED NAME OF PARENT/GUARDIAN:_____________________________________DATE:_______________

ADDRESS:__________________________________________________________________________________

PHONE:______________________ PARENT/GUARDIAN SIGNATURE:__________________________________

Cmbc Release Form - Central Minnesota Bicycle Club

Related Articles

Related forms

Related Categories