Please review and complete the Release & Indemnification form in order to participate in the Bike
Arlington Heights event held on Saturday, September 7, 2019. Thank you for your participation!

WHEREAS, Participant would like to participate in Bike Arlington Heights, a recreational bike ride
WHEREAS, the Village of Arlington Heights, a municipal corporation, ("Village") is willing to grant
permission to the participant to participate in the event,
NOW, THEREFORE, in consideration for permission to participate in this event and for other good and
valuable consideration herein acknowledged, the undersigned agrees as follows:
1. I understand and agree to follow safety rules and instructions that are designed to protect the
participants’ safety;
2. I understand that no roads are closed. All riders must obey all traffic laws and will be crossing busy
streets that are open to vehicular traffic;
3. I understand that there are some inherent risks involved in this event;
4. I understand and agree that despite careful and proper preparation, instruction, medical advice,
conditioning and equipment, there is still a risk of serious injury when participating in any recreational
activity/program. Understandably, not all hazards and dangers can be foreseen. I understand that
certain risks, dangers and injuries due to inclement weather, slip and falls, poor skill level or
conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or
defective equipment, inadequate supervision, instruction or officiating, and all other risks inherent to
indoor and outdoor recreational activities/programs exist. I recognize that it is impossible for the Village
to guarantee absolute safety.
5. I hereby release and hold harmless the Village and its officers, agents, and employees from any and
all liability, losses or damages, including attorneys' fees and costs of defense the Village may suffer as a
result of claims, demands, suits, actions or proceedings of any kind or nature, in any way resulting from
my participation in this event. I will, at my own expense, appear, defend and pay all fees of attorneys
and all costs and other expenses arising therefrom or incurred in connection therewith; and, if any
judgments shall be rendered against the Village in any such action, I will, at my own expense, satisfy and
discharge same.

By signing below, you certify that you have read and agree to the terms presented herein:

I certify I agree to the terms of the Arlington Heights Release & Indemnification Form for the Bike
Arlington Heights Event
By checking the box below, you certify that you have read and agree to the terms presented herein. *
Please check which distance you plan to ride: *
Participant's last name: *
Your answer
Participant's first name: *
Your answer
Participant's Zip Code: *
Your answer
Participant's email address: *
Your answer
Thank you!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service