Slow Roll Buffalo
Release of Liability & Waiver
Slow Roll Buffalo Registration and Release
Waiver & Policies - In consideration for my participation in Slow Roll Buffalo for the calendar of year 2020 (“Event” as stated below), I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE any of the following: Slow Roll Buffalo, Wheel B. Herd, New York State Department of Transportation, The State of New York, Erie County, City of Buffalo; Slow Roll Buffalo affiliates and sponsors; volunteers, ride leaders and other persons and entities associated with this “Event” from any and all present and future claims including those resulting from ordinary negligence for any property damage, personal injury, death or illness that I and, if applicable, my child might suffer during Slow Roll Buffalo and other related activities ("Event").
I also waive any and all claims including those resulting from ordinary negligence that may be made by me or my child (if applicable) and my heirs, executors, administrators, other personal representatives or assigns in connection with Event. I attest that I am and, if applicable, my child is physically fit, healthy and cognitively able to participate in this Event and neither I nor my child has been advised otherwise by a qualified medical person. I understand that each child under the age of 14 must ride, volunteer or attend under the immediate and direct supervision of a parent or legal guardian who is also a registered participant.
I understand that I will be using public streets and facilities where many potential hazards exist and I am aware that accidents or injuries may occur during this Event. I am voluntarily participating in this Event with knowledge of all such risks. As a rider, I ensure that myself and my child, if applicable, will wear a CPSC-certified helmet while riding in this Event. I am solely responsible for my personal health and safety and, if applicable, my child’s health and safety, and personal property at all times during the Event.
I will abide by all Event rules, regulations and instructions; and all applicable local, state and federal laws. I consent to receive medical treatment should an injury, accident, illness and/or any other circumstances occur during the Event in which treatment is deemed necessary by qualified medical personnel.
Promotional Agreement: I grant full permission to Slow Roll Buffalo to use the names, photographs and videography of me and/or my child and quotations from me and/or my child in accounts of and promotions, publicity, marketing or advertising for this Event.
Note: Slow Roll Buffalo takes privacy very seriously. We will NEVER disclose your personal information to any third party for any reason whatsoever.
I have carefully read this Waiver and Release of Liability and fully understand its contents. I am aware that by checking yes I agree to this waiver I am agreeing to its terms voluntarily and of my own free, including waiving legal rights.
Enter Full Name as Digital Signature
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service