To complete your registration,
please print this page,
sign the waiver, and mail along with your payment to the address indicated below.
You will receive confirmation by e-mail when your check is received.
LEAGUE OF AMERICAN WHEELMEN d/b/a LEAGUE OF AMERICAN BICYCLISTS ("LAB")
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK,
AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")
IN CONSIDERATION of being permitted
to participate in any way in Raven Rock Ramble Bicycling Activities
("Activity") I, for myself, my personal representatives, assigns,
heirs, and next of kin:
1. 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 participation in the
Activity.
2. FULLY UNDERSTAND that: (a) BICYCLING ACTIVITIES 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, or 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 or that of the minor in the Activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Raven Rock Ramble,
the LAB, Wake County, their respective administrators,
directors, agents, officers, members, 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 this RELEASE AND WAIVER
OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my
behalf, makes a claim against any of the Releasees, 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 OR 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, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Printed name of participant
Signature of participant
Date
MINOR RELEASE
And I, the Minors parent and/or legal guardian, understand the nature of
bicycling activities and the Minor’s experience and, capabilities and believe
the minor to be qualified, in good health, and in proper physical condition to
participate in such Activity. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE,
AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S from
all liability claims, demands, losses, or damages on the Minor’s 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 further agree
that if, despite this release, I, the Minor, or anyone on the Minor's behalf
makes a claim against any of the Releasees named above, I WILL INDEMNIFY, SAVE,
AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY
FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH
CLAIM.
Printed name of parent/guardian
Signature of parent/guardian
Date
Amount:
$30
Additional tax-deductible donation:
Your choice
Payable to:
UNC Kidney Center
Memo:
Raven Rock Ramble
Mail to:
Raven Rock Ramble
David Cole, director
206 Persimmon Place
Apex, NC 27523-9275