Bike Cochrane Society - RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
Release of waiver and liability form
Sign in to Google to save your progress. Learn more
Email *
Participant Full Name *
Are you a member of Bike Cochrane? *
ASSUMPTION OF RISKS. I am aware that Road Riding, Gravel Riding and Mountain Biking involves many inherent risks, dangers and hazards, including but not limited to: exposed rock, earth, ice or other man made or natural objects; trees, tree wells, tree stumps, traffic furniture, forest dead fall; holes and depressions on or beneath the road or trail or any surface; variable and difficult weather conditions; changes or variations in the terrain which may create blind spots or areas of reduced visibility; man-made and natural obstacles; streams and creeks; cliffs; crevasses; riding and/or travel on back-country roads; road-banks and cut-banks; hand or power tools; impact or collision with other road, gravel or mountain bikes and vehicles, becoming lost or separated from the guide(s) or other participants; mechanical failure and related equipment; extreme and rapidly changing weather conditions; encounter with wildlife including bears; the failure to operate a road, gravel or mountain bike safely or within one's own ability; negligence of other mountain bikers and other persons; AND NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE BY THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE. Communication on the road and or any terrain may be difficult, and in the event of an accident, rescue, medical treatment and evacuation may not be available or may be delayed. Weather conditions may be extreme and can change rapidly and without warning. I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH ROAD, GRAVEL RIDING AND MOUNTAIN BIKING AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS INCLUDING BUT NOT LIMITED TO PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM. *
In consideration of the RELEASEES agreeing to my participation in Road, Gravel or Mountain Biking, I hereby agree as follows: "TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in road riding, gravel riding and/or mountain biking, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES, AND FURTHER INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF PARTICIPATING IN SUCH NON-RACING EVENTS; *
TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES for any and all loss, damage, and liability to any third party whatsoever including but not limited to property damage, loss and personal injury directly or indirectly resulting from or related to my participation in road riding, gravel riding and/or Mountain Biking. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the province where the road, gravel riding or Mountain Biking takes place and no other jurisdiction; and in entering into this Release Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in road, gravel riding or mountain biking, other than what is set forth in this Release Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING ALL LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. *
MM
/
DD
/
YYYY
I give permission to take photographs and/or video of me and/or my child(ren). I grant Bike Cochrane rights to use the images resulting from the photography/video filming for the promotion of Bike Cochrane's cycling programs and initiatives. Any material collected will not be shared/sold/marketed or used for any grant application(s) without the explicit written permission of the participant, parent or legal custodian. *
Name of participant. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Bike Cochrane. Report Abuse
Google Forms