Accident Waiver and Release of Liability

I am aware that cycling can involve many inherent risks, dangers and hazards, including but not limited to those caused terrain, facilities, temperature, weather, condition of other riders, equipment, vehicular traffic, actions of other people, including but not limited to negligence of other riders and other people.

I hereby assume all of the risks of participating and/or volunteering in Tri-State Cycling Club Events. I realize that liability 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 acknowledge that these athletic events can be an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss.

I certify that I am physically fit, have sufficiently trained for participation in these events and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by Tri-State Cycling Club, its sponsors and organizers, in which I may participate and that it will govern my actions and responsibilities at said events.

In consideration of my application and permitting me to participate in Tri-State Cycling club events, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Tri-State Cycling Club, their directors, officers, employees, volunteers, representatives, and agents, the event holders, club sponsors, event sponsors, event directors, event volunteers; (B) indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during these events.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and or illness during this event.

I understand that at these events or related activities, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and or assigns.

This AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. 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 agree to TSCC
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Emergency Contact Name
The undersigned parent and natural guardian does hereby represent that he/she is in fact acting in such capacity, has consented to his/her child’s or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward to the terms of the Accident Waiver and Release of Liability set forth above. On behalf of the child or ward, the undersigned parent or guardian further agrees not to sue and to save and hold harmless and indemnify each and all of the parties referred to above according to the terms and conditions set forth above.
Participants name