Waiver: *
I acknowledge that by signing this document, I am releasing Kissena Cycling Club and others from liability. This release is a contract with legal consequences. I have been advised to read it carefully before signing. In submitting this application for membership in the Kissena Cycling Club, Inc. I hereby freely agree to and make the following contractual representations and agreements. I acknowledge that cycling is an inherently dangerous sport in which I will participate at my own risk and that the Kissena Cycling Club, Inc. is a non-profit organization organized to provide cycling activities for its members and advancement of the sport, which will be a direct benefit to me. Therefore on behalf of myself, my heirs, assigns and personal representatives I hereby waive, release, hold harmless, discharge, promise not to sue and indemnify the Kissena Cycling Club, Inc., (its officers, officials, members, agent, sponsors, associates, representatives and affiliates collectively, the “Released Parties”) from any and all rights and claims including claims arising from released parties own negligence, which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with cycling, racing or any other activity or travel to or return from such activity. To the best of my knowledge, I have no medical or physical condition which would adversely affect my ability to participate in or attend any such event or which would endanger my health.By typing your name in the box below you are electronically signing this waiver, and you represent that you intend to be bound by the contents of this waiver. In accordance with Section 540.4 of the New York State Electronic Signatures and Records Act, your electronic signature has the same validity and effect as a signature affixed by your hand. PLEASE TYPE YOUR FULL NAME
