Bike Skills Clinic

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Team name   First name   Last name   Email address   Are you a member? NoYes Enter membership email   Year of birth 01    01       YYYY 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920    Gender -- Male Female   Phone #   Emergency contact name   Emergency phone #   Event entry fee 75.00 CAD

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver 2019 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. I accept the terms of the waiver Name of parent or guardian who approves this activity Please enter your name here