MEMBERSHIP WAIVER AND RELEASE OF LIABILITY – READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the Ten 27 Cycling Club, NFP program, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:

            •           The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

            •           I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, FOREVER DISCHARGE, INDEMNIFY, AND HOLD HARMLESS Ten 27 Cycling Club, NFP and USA Cycling, Inc., their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

            •           I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

            •           I willingly agree to comply with the stated and customary terms and conditions for participation.  If, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of a Ten 27 Cycling Club, NFP officer, director, or event organizer immediately;  and,

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Write your name here to indicate your acceptance of the terms of this Waiver and Release of Liability, then click “submit”:

Note: If you are under 18 years old, your membership is not yet complete. Please send an E-mail to Chris Mailing at cmailing1@att.net to complete this Waiver and Release of Liability. Chris will arrange for your parent or guardian to also sign this Waiver and Release of Liability, which will complete your membership application.

Thank you!