WAIVER AND RELEASE OF LIABILITY -- READ BEFORE SIGNING
In consideration of being allowed to participate in any way in the Chinook Cycling Club program, its related
events and activities, I, (name of participant) , the undersigned, acknowledge, appreciate, and agree that:
1. 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,
2. 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,
3. 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 Company immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE, INDEMNIFY, AND HOLD HARMLESS Chinook Cycling Club and USA Cycling, Inc.,
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.
FOR PARENT/LEGAL GUARDIAN OF PARTICIPANTS OF MINORITY AGE
This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and
agree to his/her release as provided above of all the 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. |