2018 MIVA Membership

Monday, December 31, 2018 11:59 PM (GMT-7)

Event info
Sport: Cycling - road
Location: Nanaimo, BC, Canada
Registration closes: Wednesday, October 31, 2018 11:59 PM (GMT-7)
Organized by: MIVA
Event website: http://bikeracing.ca/
Event notes

Membership details:

$20 - Adult Membership
$15 - Senior Membership (Over 60)
$15 - Junior Membership (Under 18)
$40 - Full Family Membership (3 or more family members) *** For “MIVA Family Membership”, the head of household should fill out the registration form, and select the MIVA Family Membership” option”. For each additional family member, choose “Add participant” on the confirmation page, and use the discount code “FAMILY” to get a free entry for all family members. Once all have been added, then proceed to pay the $40 fee

Please note:

As part of the membership registration process you must provide proof of Cycling BC (CBC) insurance prior to submitting your membership details. If you still require CBC insurance, please obtain then return here to complete your membership.
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The entry fee varies - make selections to show the fee.
There is a group entry fee if 2 or more paying participants register together
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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver
I understand that my membership begins on the date this application and the fee is accepted
by the club secretary and ends on December 31, 2018
I also understand that as a club member I should assist and support
the club when required. This application is made willingly and with the intent that I shall
uphold the club constitution and bylaws.

2018 RELEASE, WAIVER, AND ASSUMPTION OF RISK


MID ISLAND VELO ASSOCIATION
RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND ASSUMPTION OF RISKS
BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE
PLEASE READ CAREFULLY!
In consideration of being permitted to participate in activities that are in any way authorised, sanctioned, organized, prepared, supervised, or operated by Mid Island Velo Association, including, without limitation to the foregoing, cycling programmes, races, training sessions, clinics, and events (the “Activities”):
1. I hereby release Mid Island Velo Association, its officers, directors, members, employees, servants, agents, successors, and assigns, and each of them (collectively and individually, “MIVA”), from any and all liabilities, causes of action, claims, proceedings, suits, debts, demands, duties, damages, interest, and costs of whatever nature or kind, whether at law or at equity and whether known or unknown, suspected, or unsuspected, which I and my heirs, executors, administrators, successors, and assigns, and each of them can, shall, or may have in relation to personal injury or property damage arising out of my preparation for or participation in the Activities.
2. I hereby waive all recourse, proceedings, claims and causes of action of any kind whatsoever that I have or will have against MIVA related to personal injury or property damage arising out of my preparation for or participation in the Activities.
3. I hereby acknowledge and agree as follows:
a) the sport of cycling is very dangerous, exposing participants to many risks and hazards, some of which are inherent in the very nature of the sport itself, others which result from the error or negligence of the persons involved in authorizing, sanctioning, organizing, preparing, supervising, or operating the Activities;
b) as a result of the aforesaid risks and hazards, I as a participant may suffer serious injury and even death, as well as property loss:
c) some of the aforesaid risks and hazards are foreseeable but others are not;
d) I nevertheless freely and voluntarily assume all the aforesaid risks and hazards, and that accordingly, my preparation for and participation in the Activities shall be entirely at my own risk;
e) MIVA does not assume any responsibility whatsoever for my safety during my preparation for or participation in the Activities;
4. This Release of Liability, Waiver of Claims, and Assumption of Risks (this “Agreement”) shall be effective, without limitation to the foregoing, in respect of personal injury of property damage caused solely or partly by the negligence of MIVA.
5. I understand that MIVA will not permit me to participate in the Activities unless I sign this Agreement and that this Agreement applies to Activities that occur at any time after it is signed, regardless of whether this Agreement is brought to my attention again before, during, or after any of those Activities;
6. This Agreement shall remain in effect whether or not I sign other releases, waivers of liability, or assumptions of risk.
7. I understand that by signing this Agreement:
a) I am forever prevented from suing or otherwise claiming against MIVA for any loss or damage connected with any property loss or personal injury that I may sustain while participating in or preparing for any of the Activities whether or not such loss or injury is cause by the negligence of MIVA;
b) I am giving up the rights of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns.
8. This Agreement represents the complete understanding between the parties regarding these issues and no oral representation, statements, or inducements have been made apart from this Agreement.
9. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.
10. I have been given the opportunity and have been encouraged to seek independent legal advice before signing this Agreement.
11. I have read this Agreement, I understand it, and I am signing it freely and voluntarily.
SIGNED AT _______________ , BC, THIS __ DAY OF 20__.
PRINT NAME:
SIGNATURE:
WITNESS:
EMERGENCY CONTACT NAME:
EMERGENCY TEL. NO.:
If under 18, name of parent or guardian who approves this activity
Please enter your first and last name here