Nabra Accident Waiver And Release Of Liability printable pdf download

NORTH AMERICAN BICYCLE RACING ASSOCIATION (“NABRA”)

PO BOX 5622, SALEM, OR 97304

ACCIDENT WAIVER AND RELEASE OF LIABILITY

I acknowledge that this athletic event is an extreme test of a person's physical and mental limits and carries with it the

potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities,

temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to,

participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event, and lack of

hydration. These risks are not only inherent to athletics, but are also present for volunteers. I hereby assume all of the risks of

participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the

persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them

or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently trained to be a participant in the event and have not been advised

otherwise by a qualified medical person.

I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by event holders, sponsors

and organizers, in events in which I may participate and that it will govern my actions and responsibilities at said events.

In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my

executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge NABRA, their

directors, officers, employees, volunteers, agents, event holders, event promoters, event sponsors, event volunteers, event

permit grantors, event property owners, and event participants, from any and all liability for my death, disability, personal injury,

property damage, property theft, lost income, or any other losses, costs or actions of any kind which hereafter may accrue to me

by virtue of my training for this event, my participation in this event or my travel to or from this event; (B) Indemnify and Hold

Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or

entities as a result of any of my actions during this event.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and or

illness during this event.

I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video or

film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and or assigns.

IMPORTANT: NABRA and the organizers of this race do not provide insurance coverage for injuries that

occur at the race. The costs related to those injuries are the responsibility of the individual participant.

Bicycle use: Bicycles or bicycle equipment, wheels or other components may be loaned or borrowed for use in this

event. A nominal charge may be collected to cover bicycle maintenance and purchase. This is a loan and does not constitute a

rental agreement. I understand that I assume responsibility for the mechanical soundness of the bicycle and its parts, including

but not limited to tires, gears, chain and bolts. I have examined or will examine the bicycle and certify that it is properly

assembled and fit to ride. I accept responsibility for damaged or lost equipment.

The AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under

applicable law.

10.

I hereby certify that I have read this document; and, I understand its content.

Plate/Bib # ___________ Racing Age ________ Category ______________ Club/Team_________________________________

Name (print) __________________________________________________ Email: _____________________________________

Street ___________________________________________________________

City______________________________ State _________ Zip _____________ Phone (contact) _____________________

Who to notify in case of emergency: _________________________________________________ Phone: ___________________

Signature of entrant: _______________________________________________ Dates(s)___________

PARENT GUARDIAN WAIVER FOR MINORS (Under 18 years old) The undersigned parent and natural guardian or legal guardian

does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each

and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said

parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents

or legal guardian.

Signature of parent or guardian:___________________________________________ Dates(s)___________

Nabra Accident Waiver And Release Of Liability

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