LEAGUE OF AMERICAN BICYCLISTS
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF
RISK AND INDEMITY AGREEMENT IN CONSIDERATION of being permitted to
participate in any way in STARVED ROCK CYCLING ASSOCIATION sponsored
Bicycling Activities I for myself, my personal representatives,
assigns, heirs, and next of kin:
ACKNOWLEDGE, agree and represent that I understand the nature of
Bicycling Activities and that I am qualified, in good health, and in
proper physical condition to participate in such Activity. I further
acknowledge that the Activity will be conducted over public roads and
facilities open to the public during the Activity and upon which the
hazards of traveling 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 participating in the Activity.
FULLY UNDERSTAND that: (a) BICYCLING ACTIVITES INVOLVE RISKS AND
DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY,
PARALYSIS AND DEATH “RISKS”; (b) these risks and dangers
may be caused by my own actions, or inactions, the actions or
inactions of others participating in the Activity, the condition in
which the Activity takes place, of THE NEGLIGENCE OF THE RELEASEES
named below; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC
LOSSES either not known to me or not readily foreseeable at this
time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL
RESPONSIBILITY FOR LOSSES, COSTS AND DAMAGES I incur as a result of
my participation in the Activity.
HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the Starved Rock
Cycling Association, League of American Bicyclists, their respective
administrators, directors, agents officers, volunteers, and
employees, other participants, any sponsors, advertisers, and if
applicable, owners and lessors of premises on which the Activity
takes place, (each considered one of the “RELEASEES”
herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY
ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE
NEGLIGENCE OF THE “RELEASEES: OR OTHERWISE, INCLUDING NEGLIGENT
RESCUE OPERATIONS; AND I FURTHER AGREE that if despite the RELEASE
AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
I, or anyone on my behalf, makes a claim against any of the releases,
I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from
any litigation expenses, attorney fees; loss, liability, damage, or
cost which any may incur as the result of such claim.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND
THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE
SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OF ASSURANCE OF ANY
NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF
ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF
ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOT
WITHSTANDING, SHALL CONTIUE IN FULL FORCE AND EFFECT.
Members Signature________________________________ Birth Date_____________
Members Signature________________________________ Birth
Date_____________
(Parents or legal guardian if under 18 years of age)
Print Name ________________________ Address ______________________________
City ___________________ State ____ Zip _________ Home Phone ______________
New Renewal LAB Member #___________ E-Mail Address _____________
Emergency Contact call: ____________________ Phone ___________________
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ANNUAL DUES: Family $30 Individual $20 Mail Applications and Check To: |
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