2nd Annual RIDE 4 HOSPICE HUNTSVILLE 
Event Timing: AUGUST 3rd 2024 
Location: 1 CRESCENT ROAD (Parking Lot) HUNTSVILLE ON

Organized by the USS NOMAD NCC-72382-A  
Star Trek & Science Fiction Fan Club 

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EVENT ACTIVITIES INCLUDE: 

150 km ride, followed by raffles, food, live music, and more! 

REGISTRATION @ 9:00 AM 

KICKSTANDS UP @ 10:00 AM 

COST: $25 PER RIDER / $20 FOR PASSENGER 
Questions:   Contact uss.nomad.command@gmail.com
Payments can be made at uss.nomad.command@gmail.com Indicate your name in the payment so we can match to registration form.  

You are not registered to ride until we have received the waiver, either electronically or physically, and payment has been made!
2024 USS NOMAD STAR TREK CLUB 2nd Annual RIDE FOR HUNTSVILLE HOSPICE
                                             “LIABILITY WAIVER”
To participate in a group ride for “2024 Ride For Huntsville Hospice” you MUST sign this liability waiver
form Release of Liability, Waiver of Claims, and Assumption of Risk Agreement.

I certify that I have a valid motorcycle license endorsement, motorcycle liability insurance coverage to cover
me, my property, and any liabilities that may arise out of any accident and/or injury which may occur
involving me, my passenger or third party, before, during or after a group ride.

Riders are asked to please ride responsibly and obey all the rules of the road.

Please read carefully! I am aware that riding a motorcycle involves risks, dangers and hazards in addition
to those normally associated with the operation of motor vehicles. I acknowledge and accept the risks,
dangers, and hazards that “group riding” may include, including my failure to drive safely or within the limits
of my own ability, and/or the negligence of other motorcycle or motor vehicle drivers.

I hereby agree as follows:

1. I understand I am solely responsible for the decision to participate in this group ride and have freely
chosen to participate, despite the risks associated with it. I assume all the risks associated with the group
ride, as well as the risks of any related activities in which I may participate.

2. To waive all claims that I have or may have in the future against all organizers of the riding group,
the road captains, and tail-gunners of each of the group ride that occur throughout the Ride day, (hereinafter
collectively referred to as the Releasees) arising out of any aspect of my participation in the group ride.
This includes but is not limited to organizing rides, planning of the route, safety talk, hand signals, leading
the group rides, tail-gunning, etc.

3. To release the Releasees from all liability for any loss, damage, expense, or injury, including death,
that I may suffer or that my next of kin may suffer because of my participation in the Ride 4 Autism, group
rides due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or
other duty of care, on the part of the Releasees.

4. I confirm that I am of the full age of 18 years and that I have read and understood this
waiver/agreement prior to signing it, and I am aware that by signing this waiver/agreement I am waiving
certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives
may have against the Releasees. I acknowledge having been advised to seek independent legal advice
before signing this waiver.

I UNDERSTAND THAT, BY SUBMITTING THIS DOCUMENT, I AGREE NOT TO SUE any or all the
involved parties, Releasees or organizers in connection with the group ride.
Rider name:
(By submitting name you agree to the above waiver)
*
If having a passenger, Passenger name:
(By submitting name you agree to the above waiver)
*
Payment Submitted? *
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