I, _____(please provide name digitally)_____, HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH MTIA (Major Taylor Iowa), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the 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. I fully realize that bicycling is an inherently dangerous activity, but voluntarily and freely agree to assume any and all risks associated with said activity. I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Major Taylor Iowa and those individuals associated with the club. This expands to and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I accept and acknowledge that some of the inherent risks involved with bicycling and these events include motorists, animals, weather, collision with pedestrians, other cyclists, fixed or moving objects; surface hazards, potholes, broken roads, large bridge gaps, equipment failure and inadequate safety equipment. I recognize that there are other risks and dangers that are unforeseeable and beyond the control of aforementioned parties and release those from any and all liability arising from said situations. I accept and acknowledge that they are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. I accept and acknowledge that my signature on this document certifies that I am physically fit to participate in the event, trained sufficiently for this event, and/or have not been instructed by a physician to refrain from physical activities, and that none of the aforementioned parties have any reason to believe or suspect that I am not physically fit enough to participate in the event. If at any point I feel unable to continue participation in the event a danger to myself or others, I acknowledge that it is my sole responsibility to withdraw myself from the event and notify the appropriate parties. I accept and acknowledge that I am completely responsible for my own well being and have made appropriate arrangements should I find myself unable to complete activities or am in need of assistance and cannot depend on, demand or expect any of the aforementioned parties to be available or able to provide me with assistance. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. I accept and acknowledge that it is my sole responsibility to comply with the rules of each activity and any applicable laws, but accept and acknowledge that my compliance with the rules and laws in no way guarantees my safety or protects against property loss. In the case of an event registration fee or other cost, I accept and acknowledge all sales are final. There is no implication or expectation of a refund for any reason. This waiver and release supersedes any prior or other agreement or representation, oral and written, which conflicts with any terms of this waiver and release. If there is any dispute regarding this waiver and assumption of risk it will be governed solely by the laws of the State of Iowa. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I have executed this waiver and release freely, intelligently, voluntarily, and without any undue influence or duress. I fully intend this waiver to release all aforementioned parties from and and all liability, whether or not expressly set forth in this waiver. BEFORE SIGNING THIS WAIVER AND RELEASE, I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. IF I HAD ANY QUESTIONS REGARDING THIS WAIVER AND RELEASE I MADE FULL INQUIRY AND ANY SUCH CONFUSION OR MISUNDERSTANDINGS WERE MADE COMPLETELY CLEAR TO ME PRIOR TO MY SIGNATURE. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. I HAVE READ AND FULLY UNDERSTAND THE TERMS AND EFFECTS OF THIS AGREEMENT. I UNDERSTAND THAT BY SIGNING THIS WAIVER I AM GIVING UP ANY LEGAL RIGHTS I MAY HAVE AGAINST THE PARTIES MENTIONED ABOVE FOR ANY INJURY OR LOSS I SUFFER.