In consideration of being permitted to participate in any way in Velo City Riders Cycling Club ("Club") sponsored  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 the risks and dangers of serious bodily injury, contracting viral infections, bacterial infections, and other communicable diseases, 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 conditions 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 may incur as a result of my participation in the Activity.
 
3. Hereby release, discharge, and covenant not to sue VCRCC, its 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 am 18 years of age or older, have read and understand the terms of this agreement, understand that I am giving up substantial rights by signing this agreement, have signed it voluntarily 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. I agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.


MINOR RELEASE
 
And I, the minor’s 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 Releasees 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 any cost that may incur as the result of any such claim.

I give permission for my child to participate in the Velo City Riders Cycling Club Youth Rider Program.  In case of emergency, I understand that every effort will be made to contact parents/guardians or alternate contact of the registered youth.  In the event that I cannot be reached, I give permission for Velo City Riders Cycling Club to secure treatment for any medical need that arises.  I understand I am financially responsible for any expense of medical care or transportation on my child’s behalf.  I hereby release Velo City Riders Cycling Club, it and its volunteers from any responsibility for injuries or illness occurring as a result of or coincidental to my child’s participation in these programs.

I hereby grant permission to Velo City Riders Cycle Club to use my child’s photo, video, and/or voice on their website, multimedia, social media, or in other official organization printed publications.  I also acknowledge that Velo City Riders Cycling Club may choose not to use my child’s photo/voice at this time, but may do so at its own discretion at a later date.  I understand that the names and personal information of my child will not be published with the photo or voice recording.

I hereby agree that my child will present themselves both verbally and with actionable behaviors that do not offend a reasonable person.  Additionally they will ride in a manner that does not present a safety hazard to themselves or others.  Failure to act accordingly will be reviewed by the Board of Directors and may result in temporary suspension or permanent expulsion from the Velo City Riders Cycling Club.

By clicking submit this will serve as your electronic signature/confirmation.