Waiver and Release
I, ________________________
(please print participant’s name) wishes to participate in the “
I understand that there are inherent risks involved in bicycle riding and
bicycle touring and that serious injuries and damage may and sometimes does
occur, I nevertheless accept and knowingly accept those risks. I hereby,
for myself, my heirs, and my legal representatives release and indemnify and
agree to hold harmless Montrose Medical Mission, officers, board members,
directors, representatives, employees, volunteers, participants, sponsors and
other persons or entities who may be involved with promoting or conducting this
charity bike event of and from any and all losses, costs, damages, claims,
demands, rights and causes of action which may arise and result from illness,
personal injuries, property damage, death or of any other damages or injuries
not included herein, occurring during, or as a result of my participation in
this charity event.
I do hereby consent and agree that I will at all times
during participation in the charity event adhere to and obey all state and
local laws, highway and street signs and regulations of the tour which includes
wearing a SNELL or ANSI approve bicycle helmets at all times while riding a
bicycle. I understand that bicycle riding is a strenuous and potentially
dangerous activity. I will not participate unless I am medically and physically
able and properly trained in the use of my bicycle. I assume full and
complete responsibility for any injury or accident, which may occur while I am
traveling to and from the event, during the event or while participating I the
event or on the premises of the event. I am aware of and assume all risks
associated with participating in this event including but not limited to falls,
traffic accidents, contact with other participants,
and effect of weather, road and path conditions. I for myself and my
heirs and legal representatives hereby waive, release and forever discharge the
Montrose Medical Mission, the event organizers, sponsors, promoters, and each
of their agents, representatives, successors, and assigns, and all other
persons associated with the event, for any and all liabilities, claims,
actions, or damages that I may have against them arising out of or in any way
connected with my participation in this charity event. I understand this
waiver includes any claims, whether caused by negligence, the action or
inaction of any of the above named parties, or otherwise.
I do hereby consent to and authorize Montrose Medical
Mission, event organizers, representatives, participants, and sponsors to
obtain emergency medical treatment for me in case of any illness or injury that
may occur during the event. I understand and accept that any costs
including but not limited to medical costs incurred with respect to emergency
treatment will be my responsibility.
By completing this Waiver and Release and registration both
I and Montrose Medical Mission agree that the statutes and laws Of the State of
Colorado, without regard to the conflict of laws principle thereof, will apply
to all matters relating to this event registration or this Waiver of Liability.
If an provision of this Waiver of Liability shall be
unlawful, void, or for any reason unenforceable, then that provision shall be
deemed severable from this Waiver of Liability and shall not affect the
validity and enforceability of an remaining provision.
I understand the registration fee is not refundable.
Signature:_________________________________________
Date:_________
Signature of parent or guardian of minor: _______________________________