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GROC Liability Online Form
GROC Liability Waiver Form
Mark *
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Shannon *
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4441 CR 33, Honeoye, NY 14471 *
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GROC Liability Waiver *
This form needs to be submitted before participating in any GROC sponsored activities
GROC Gives, Inc. ("GROC") RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT") In consideration of being permitted to participate in any way in GROC sponsored activities including but not limited to bicycling, trail construction, and trail maintenance activities (hereinafter referred to as the “Activities”), I, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, or anyone else who might claim or sue on my behalf,: 1. Acknowledge, agree and represent that I understand the nature of the Activities, and that I am qualified, in good health, and in proper physical condition to participate in such Activities. I further acknowledge that the Activities will be conducted on public trails and facilities open to the public during the Activities and upon which the hazards of traveling are to be expected. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activities. 2. Fully understand that: (a) the Activities involve risk and dangers of serious bodily injury, including disability, paralysis and death ("Risks"); (b) These Risks may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activities, the conditions in which the Activities take place, or the negligence of GROC, their administrators, directors, agents, officers, members, volunteers, and employees, ride leaders, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activities take place, (hereinafter collectively referred to as the “Released Parties”); (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activities. 3. Hereby release, discharge, and covenant not to sue the Released Parties from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Released Parties or otherwise, including negligent rescue operations; and I further agree that if despite this Agreement I, or anyone on my behalf, makes claim against any of the Released Parties, I will indemnify, save, and hold harmless each of the Released Parties from any litigation expenses, attorney fees, losses, liability, damage, or cost which any may incur as a result of such claim. 4. Agree that participants under 18 years of age will be accompanied and supervised by a parent or guardian. I have read this Agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed freely and without any inducement or assurance of any nature and intend it to be complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. *
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