In consideration of being allowed to participate in any way in the activities of Rochester Active Sports Club (RASC), its related events and activities, the undersigned, acknowledge, appreciate, and agree that:
 
1. 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,
 
2. 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,
 
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,
 
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Rochester Active Sports Club, 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 HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AS IT APPLIES TO MYSELF AND ANY FAMILY MEMBERS ON WHOSE BEHALF I AM SIGNING THIS FORM, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I AND MY FAMILY MEMBERS HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND BY CHECKING THE BOX BELOW  INDICATE THAT I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT ON BEHALF OF MYSELF AND ANY FAMILY MEMBERS.

This form MUST be signed and dated in order to participate in any sanctioned RASC rides and/or events.

RELEASE:

BY SIGNING BELOW YOU ACKNOWLEDGE YOU HAVE CAREFULLY READ THE RELEASE OF LIABILITY AND FULLY UNDERSTAND AND AGREE TO ITS CONTENTS.