2017 Outback Ride for Hope
Release of Liability
Either print out and sign and bring with you, or sign at registration
I realize that the Outback Ride for Hope requires physical conditioning, and I represent that I am in sound medical condition, and that I have no physical or medical condition that would endanger myself or others.
I accept responsibility for the condition of my bicycle and agree to abide by all rules of the ride, especially the wearing of an ANSI, SNELL, or ASTM approved bicycle helmet at all times while riding my bicycle on the ride. I agree to follow all instruction of leaders and volunteers. I understand this is not a race, and I will abide by all traffic and pedestrian laws and requirements. I understand that bicyclists may ride two abreast, unless conditions warrant otherwise.
I understand and am aware that there are a variety of specific risks and dangers inherent in a voluntary bicycling event, including falls, collisions with other bicyclists, motor vehicles, or stationary objects; adverse weather conditions; and those caused by conditions of the road. I also understand that by bicycling in the Outback Ride for Hope I will be riding my bicycle on public roads with many other bicyclists, some of which may be inexperienced at riding in groups. I understand that bicycling involve a risk of injury and that injuries are an ordinary occurrence of an even like the Outback Ride for Hope, and while particular rules, equipment, safety instructions, and personal discipline may reduce this risk, the risk of injury does exist. I accept the fact that bicycling can be hazardous, and in rare cases, include serious injury.
I agree, for myself and on behalf of the heirs and anyone authorized to act on behalf of either, to freely and expressly assume and accept any and all risks relating to this event. I agree to release the sponsors and promoters of the Ride, including New Beginnings Intervention Center, its Directors, officials, agents, and/or employees, volunteers and its Affiliated parties for injuries or damages, which result, either directly or otherwise, from my participation in the Ride. I understand that the term Affiliated Parties, as used in this waiver, includes partners, sponsors, volunteers, property owners or lessors, government agencies, and others endorsing, planning, or carrying out any component of the Ride. I agree not to make a claim against, or sue New Beginnings Intervention Center or its affiliated parties for injuries or damages related to the ride.
I am aware that this is a release of liability. I am signing it freely and of my own accord and I recognize and agree that it is binding upon myself, my heirs, and assigns, and in the event that I am signing it on behalf of any minors. I have full legal authority to do so and realize the binding effect of this contract on them, as well as on myself. I agree to allow New Beginnings Intervention Center to use photographs, of me for promotional purposes. If I am under 18 years of age I must participate on the Ride with an adult registrant who will accompany me on the Ride.
Print Participant Name: ________________________________
Signature: ___________________________________________ ______________________ Date: __________________
MINOR RELEASE: In addition to the above agreement, I, the minor’s parent and/or legal guardian, understand the nature of bicycling activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity.
Parent/Guardian Signature: ____________________________________________________ Date: ______________
If parent/Guardian is not the accompanying adult, please note the name of the adult registering for the Outback Ride for Hope who will accompany the minor: _____________________________________________