ACCIDENT WAIVER AND RELEASE OF LIABILITY
IN CONSIDERATION of being permitted to participate in any way in all activities (collectively, “Activities”) organized by Mad Cow Fat Bike Club ,the Poor Farmer's RV Sales, Service and Campground Inc. and its employees, I acknowledge that these Activities are an extreme test of a person’s physical and mental limits, and I voluntarily assume all risks of all loss, damage or injury occurring in connection with such Activities. I fully understand that my participation 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, conditions of athletes, equipment, vehicular traffic, lack of hydration, actions of other people including, but not limited to vehicle operators, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event. These risks affect not only athletes, but also volunteers. I hereby assume all of the risks of participating and/or volunteering in these Activities. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, or from dangerous or defective equipment or property owned, maintained or controlled by them. I certify that I am physically fit, have sufficiently trained for participation in these Activities and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability form (“Waiver and Release”) will be used by the club holders, the Poor Farmer's RV Sales, Service and Campground Inc. and its employees sponsors and organizers, in which I may participate and that it will govern my actions and responsibilities at said Activities. In consideration of my application and permitting me to participate in these Activities, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) WAIVE, RELEASE and DISCHARGE from any and all liability, claims, demands, actions or rights of action, which are related to my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me which are related to or are in any way connected with participation in all Club Activities or result from my traveling to or from these Activities, THE FOLLOWING ENTITIES OR PERSONS: Team Mad Cow Fat Bike Club, the Poor Farmer's RV Sales, Service and Campground Inc. and its employees, representatives, agents, contractors, the event holders, event sponsors, event directors, event volunteers and their successors, assigns and insurers; and (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 these Activities. I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT AND THAT BY SIGNING IT I AM GIVING UP MY RIGHT TO SUE OR OTHERWISE MAKE A CLAIM against the Club and other entities and persons mentioned in this paragraph.
I intend this Waiver and Release to be effective whether or not any loss, damage, injury or death RESULTS FROM NEGLIGENCE of the Club, the Poor Farmer's RV Sales, Service and Campground Inc. and its employees or any of their directors, officers, employees, volunteers, representatives, agents, contractors, the event holders, event sponsors, event directors, event volunteers and their successors, assigns and insurers. I understand that negligence means a failure to do an act which a reasonably careful person would do, or the doing of an act which a reasonably careful person would not do, under the same or similar circumstances to protect himself, herself or others from injury or death.
I understand that at these Activities or related events, I may be photographed. I agree to allow my photo, video, film likeness and email address to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and or assigns. I agree to wear an ANSI or SNELL approved helmet and to ride in accordance with all applicable laws. This Waiver and Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document, and understand its content. THIS WAIVER AND RELEASE SHALL BE EFFECTIVE FOR ANY AND ALL ACTIVITIES WITH THE CLUB and/or the Poor Farmer's RV Sales, Service and Campground Inc. and its employees, THAT I PARTICIPATE IN AT ANY TIME AFTER I SIGN THIS DOCUMENT.
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. If under 18 years of age, parent or guardian must sign:
Signature: _____________________________________ Date:____________________________________
Printed Name: _____________________________________
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