Atlanta Bike Festival Historic Cemetery Ride
For further information or assistance please contact: James Morrison, james@westwood-llc.com
Name
Full name
Your answer
Email
Your answer
Mobile phone
Your answer
Number of Riders
Your answer
Rotary Club
Your answer
Comments
Your answer
ACCIDENT WAIVER AND RELEASE OF LIABILITY
MM
/
DD
/
YYYY
Please read carefully.
I acknowledge that this event is not associated with, sponsored, or endorsed by Rotary International or Fellowship Cycling to Serve, an organization of cycling Rotarians.

I acknowledge that this athletic event requires that I am physically fit enough to participate or volunteer in this event.

I acknowledge that I have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person.

I acknowledge that this is a bike ride and not a race. However, there are risks associated with any bike ride. Such risks include but are not limited to those caused by terrain, facilities, temperature, weather, lack of hydration, conditions of athlete's equipment, vehicular traffic, and intentional or negligent actions of other people including but not limited to participants, volunteers, spectators, event officials, and event monitors.

I hereby voluntarily assume all the risks of participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

In consideration of my application and permitting me to participate in this event, I, for myself, and on behalf of my heirs, assigns, personal representatives, hereby:

(A) WAIVE, RELEASE AND DISCHARGE Rotary International, Fellowship Cycling to Serve (C2S) and their respective directors, officers, employees, volunteers, representative agents, the event sponsors, the event directors, event volunteers, co-participants and event vendors from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me at or during my traveling to and from this event, whether arising out of negligence or otherwise.


(B) IDENTIFY AND HOLD HARMLESS the entities or persons mentioned in (A) above, from any and all liabilities or claims made by other individuals or entities as a result of my actions during this event, the negligence of any release, or otherwise.

I hereby certify that I have read this document and understand this accident waiver and release of liability form will govern my actions and I understand that I am releasing the named entities from claims based on negligence or responsibilities stemming from my involvement in this event in any way, including participation in or volunteering for this event.

I will be hosting rider(s) under 18 years of age
If you agree with the above ACCIDENT WAIVER AND RELEASE OF LIABILITY , please type AGREE in all capital letters
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms