Wednesday, April 29, 2015

Waiver

Will this is a free ride, a waiver needs to be signed for each rider.  Helmets are also required.


1st Freeport Rail Trail Ride


Signature _____________________________________ (Parent’s Signature if Rider under 18) Date________ (NOTE: By signing, you acknowledge that you have read and agree to the conditions explained in the waiver printed on this form.)
Printed Name____________________________________________________________________ Address______________________________________ Age on ride day _____ City___________________ State___ Emergency Contact (             ) ____---_______
Email Address___________________________________________________


In the consideration of the foregoing, I, for myself, my heirs, executors, and administrators, waive and release all rights and claims for damages against the 2015 Freeport to New Kensington Bicycle Ride, principles, landowners where the ride crosses, all sponsors and volunteers from claims against damages to my equipment in said ride, including and not limited to any injuries I might suffer. I acknowledge that I am aware of the inherent risks in participating in a bicycle ride. I attest and verify that I have health insurance and that I am fit and am physically able for the riding of this event, as certified by a licensed medical doctor. I agree to wear a helmet while participating in this ride. I further consent to the use of my name, image, and picture in advertising, promotion, or other account of this event in the future.


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