Full Cycle Bicycle Activity Waiver & COVID Screening
Thank you for your interest in joining our ambassador led group rides, coached clinics, or event.
Please complete this information form and agree to the following, prior to joining in any of these cycling related activities:
A) Waiver and release of liability (below)
B) Social distancing & masks: You will maintain 6 feet of social distancing and wear masks when not possible to do so
C) COVID screening test. If you answered YES to ANY of the following questions, you CANNOT ride with us. Keep our community safe!
1. Do you currently have or have you had within the last 14 days any of these symptoms that are not caused by another condition?
• Fever or chills
• Shortness of breath or difficulty breathing
• Muscle or body aches
• Recent loss of taste or smell
• Sore throat
• Nausea or vomiting
2. Within the past 14 days, have you had contact with anyone that you know had COVID-19
or COVID-like symptoms? Contact is being 6 feet (2 meters) or closer for more than 15
minutes with a person, or having direct contact with fluids from a person with COVID-19
(for example, being coughed or sneezed on).
3. Have you had a positive COVID-19 test for active virus in the past 10 days?
4. Within the past 14 days, has a public health or medical professional told you to self-monitor,
self-isolate, or self-quarantine because of concerns about COVID-19 infection?
I am 18 years of age or older, have read and understand the terms of the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement detailed below. I understand that I am giving up substantial rights by affirming this agreement, have agreed to it voluntarily and without any inducement or assurance of any nature, and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect. 1. I acknowledge, agree, and represent that I understand the nature of Bicycling Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further acknowledge that the Activity will be conducted over public roads and trails and facilities open to the public during the Activity 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 Activity. 2. I fully understand that: a. Bicycling activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death (“Risks”); b. These Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the "Releasees" named below; 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 Activity. 3. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Full Cycle, or any of Full Cycle's respective administrators, directors, agents, officers, members, volunteers, ride leaders, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) 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 "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.
I agree to this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Send me a copy of my response.
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