Lotus Rising LA – Community Bike Ride Waiver and Release of Liability
Event: Lunar New Year Community Bike Ride
Date: Saturday, February 21, 2026
Location: Pasadena & Altadena, CA
Sign in to Google to save your progress. Learn more
Email *
Participant Information

  Name   *
Phone *
Email *
Emergency Contact Name *
Emergency Contact Phone *
Waiver and Release

By signing below, I acknowledge that I am voluntarily participating in the Lunar New Year Community Bike Ride organized by Lotus Rising LA & Panda Express, and I understand that cycling on public roads involves inherent risks, including but not limited to accidents, falls, collisions with vehicles or other participants, and unpredictable road conditions.

I am voluntarily participating with full knowledge of these risks and assume all responsibility for my participation. I agree to release and hold harmless Lotus Rising LA, Panda Express, its organizers, volunteers, sponsors, and partners from any and all claims, damages, or liability arising from my participation, whether caused by negligence or otherwise.

I certify that I am physically fit to participate in this event and that my bicycle is in safe operating condition. I agree to obey all traffic laws and ride safely and respectfully toward others.

I authorize event organizers to seek emergency medical care on my behalf if necessary and understand that I am responsible for any medical costs incurred.

I understand that photographs or videos may be taken during the event and grant permission for my likeness to be used for non-commercial, nonprofit promotional purposes by Lotus Rising LA, Panda Express, its organizers, volunteers, sponsors, and partners.

Signature  *
Date *
MM
/
DD
/
YYYY
If under 18: Parent/Guardian Name
If under 18:  Parent/Guardian Signature
If under 18:  Date
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Lotus Rising LA.

Does this form look suspicious? Report