The Acceptance of This Waiver is for Calendar Year 2023
Please read the waiver below, fill in the questions, then submit
In this Release Agreement, VeloPigs Cycling Club, and Plum Grove Cyclery, shall include its respective administrators, owners, directors, agents, officers, members, representatives, leaders, volunteers, and/or employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activities takes place, hereafter each is considered one of the "Releasees".
In this Release Agreement the term “Activities” shall include all activities, bicycle rides, bicycle races, outdoor activities, sport events, programs, community service activities, or other activities and services which are organized, provided, arranged, managed, recommended, conducted, sponsored, promoted or authorized by or associated with the Releasees.
RELEASE AND WAIVER OF LIABILITY
In consideration of the Releasees agreeing to my participation in Activities, I hereby agree as follows:
1. TO RELEASE, DISCHARGE, AND COVENANT NOT TO SUE, and WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES AND TO RELEASE THE RELEASEES from any and all liability for any injury, loss, damage or expense, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Activities, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed by applicable law on the part of the releasees. I understand that negligence includes failure on the part of the releasees to safeguard or protect me from the risks, dangers and hazards of participating in any Activities;
2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES for any and all liability for any property damage, loss, or personal injury to any third party resulting from my participation in Activities;
3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;
4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Commonwealth of Virginia and no other jurisdiction.
I ACKNOWLEDGE, agree, and represent that I understand the nature of the Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activities. I further acknowledge that the Activities will be conducted over public roads, both improved and unimproved, over public trails and paths, and on or in facilities open to the public during the Activities, and upon which the hazards of traveling upon or entering 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 such Activities.
In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of Activities.
I AM 18 YEARS OF AGE OR OLDER, HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, HAVE SIGNED 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.
Enter your name below to accept this Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement *