Escarpment Cycle Waiver, Release & Indemnity Form
Name: _________________________________________________________________________
Age: ______
Email: _________________________________________________________________________
D.O.B.:_________________________ YYYY / MM / DD
I ______________________________________ understand and agree my participation in rentals, events, programs or activities organized, operated, conducted and/or sanctioned by Escarpment Cycle is conducted upon my execution of this document.
1. I am aware that cycling and in particular road and mountain cycling, involves the possibility of injury or death.
2. I accept these risks, and all other arising from these events and programs, even if arising from the negligence, gross negligence or negligent rescue by those associated in any way with Escarpment Cycle rentals and events I may be involved in, the venues at while these events and programs takes place or by those organizing, leading or participating in these events and programs throughout the year including their respective officers, directors, employees, agents, volunteers and representatives (the “Releasees”)
3. I understand that all applicable rules for participation must be followed and that SOLE RESPONSIBILITY FOR MY PERSONAL SAFETY REMAINS WITH ME, including my physical and emotional preparation and fitness to participate in all events and rentals throughout the year.
4. I understand and agree to remove myself from participation if I sense or observe any unusual hazard or unsafe condition, or if, at any time, at any event or program, I feel unable or unfit to safely continue for any reason.
5. I give a FULL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I have, or may have in the future, against Escarpment Cycle and all other Releasees from all liability for any loss, damage, injury or expense that I may suffer as a result of my participation in any part or parts of the events or programs or my presence at any venue at which they may be taking place, due to any cause whatsoever including the forms of negligence set forth in paragraph 2 above or from any breach of contract or statutory duty or other duty of care on the part of the Releasees.
6. I AGREE NOT TO SUE and I further agree TO INDEMNIFY AND SAVE HARMLESS the Releasees from all expenses, fee, liability or damage award or cost of any type whatsoever arising from my participation in these events or rentals.
7. I hereby claim that my bike is of safe and functioning state and understand that Escarpment Cycle reserves the right to deem a bike unsafe or unfit for the purpose of the ride, event or program.
8. Escarpment Cycle reserves the right to remove you from a ride, event or program at any point if we feel you are endangering others.
9. I agree to wear an appropriate, approved cycling helmet.
I HAVE READ AND UNDERSTOOD THIS WAIVER RELEASE AND INDEMNITY I am aware that by signing this agreement I am waiving substantial legal rights (on my behalf and the behalf of my heirs, executor, administrators and next of kin) including giving up on my rights to sue.
Signature:____________________________________________________________________ Date:_______________________
PARENTAL CONSENT FOR MINOR PARTICIPANT and INDEMNITY AGREEMENT
I have read and understood the above waiver, release and indemnity, and have discussed the same with the minor person signing the above. I am satisfied the said minor understands the waiver and release and his/her obligations as set out. In consideration of the participation of my minor child/ward I too agree to waive, release and indemnify the Releasees in the terms set out above. I am aware that by signing this agreement I am waiving substantial legal rights, which my minor child/ward and I, our respective heirs, executors, administrators and next of kin may have against the Releasees.
Signature:____________________________________________________________ Date:_______________________
Location:________________________________________________