B360 - Circle Boulder by Bike 2023 
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Participant Release Form

By my signature below, I acknowledge that I have been advised and understand that the B-360 - Circle Boulder by Bike event includes activities for which there is a risk, to me or my minor child/ward, of property damage or loss, as well as the risk of physical injury, which includes but not limited to:

  1. Bone and joint injuries
  2. Muscle strains and other muscle injuries
  3. Foot problems
  4. Head, neck, and spinal injuries
  5. Injuries associated with exposure to the elements during outdoor activities, such as sunburn, dehydration, heat exhaustion, and hypothermia
  6. Illness and/or communicable disease

I agree to assume full risk of any injuries, property damage or loss which I or my minor child/ward may sustain as a result of participating in any and all activities connected with or associated with Boulder Walks as a result of their negligent acts or omissions.

I agree to waive and relinquish all claims I or my minor child/ward may have as a result of participating in the B-360 - Circle Boulder by Bike event against the City of Boulder and its officers, employees, authorized volunteers, and partner agencies.

I further agree to indemnify and hold harmless and defend the City of Boulder and its officers, employees, authorized volunteers, and partner agencies (Community Cycles) from any and all claims by other parties resulting from injuries, damages, and losses caused by me or my minor child/ward arising out of, connected with, or in any way associated with the activities of this event.

In the event of any emergency, I authorize the City of Boulder and its officers, employees, authorized volunteers, and partner agencies to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for me or my minor child/ward’s immediate care and agree that I will be responsible for payment of any and all medical services rendered.
I acknowledge that I have read this Acknowledgement of Risk and Release of All Claims carefully, and fully understand that I will be waiving and relinquishing all claims for injuries I or my minor child/ward might sustain as a result  of  participating in program activities. I also understand  and agree that this form shall not be modified orally. 
*Provide your first and last name here as your signature. 
*Fill out one form per person, including minor children. 
 *
If the above person is a minor, parent or guardian must add their name here as a signature.
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