Revolution Enduro – Buffalo Creek Enduro May 20, 2018

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY, AND PARENTAL

CONSENT AGREEMENT (“Agreement”) for all 2018 Revolution Enduro), events

(this form is to only be used for Individual Adults or for Adults on behalf of Minors)

IN CONSIDERATION of being permitted to participate in any way in the Revolution Enduro, 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.

  1. 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 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.

  1. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Revolution Enduro, LLC,

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.

  1. PHOTO-MODEL RELEASE; Revolution Enduro, its respective administrators, directors,

video and photography agents and contractors, media members, volunteers, and employees, participants, sponsors, or advertisers may use any photographs and video content of the participant captured during the activity as sees fit to share, distribute and marketing use.

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.

PARTICIPANT’S NAME (PRINTED):

 

LAST NAME, _________________________ FIRST NAME,______________________________

 

DOB ___________      EVENT NAME: Revolution Enduro, Buffalo Creek Enduro

 

_____________________________________________PARTICIPANT’S SIGNATURE (only if age 18 or over): I HAVE READ THIS RELEASE

ADDRESS (Street) (City) (State) (Zip)

 

(OVER)

PHONE

EMAIL

 

DATE

 

Emergency Contact – NAME

 

Emergency Contact – PHONE

 

MINOR RELEASE

(complete for Participants Under the Age of 18)

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 COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

FORM NO. LAB MINOR W&R DME #480846 (1/2007)

 

MINOR’S NAME (PRINTED):____________________________________

 

BIRTH DATE OF MINOR:______________________________________

 

SIGNATURE OF MINOR PARTICIPANT: I HAVE READ THIS RELEASE

 

___________________________________________________________

PARENT/GUARDIAN NAME (PRINTED)

 

___________________________________________________________

PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18): I HAVE READ THIS RELEASE

Read liability waiver on left. Then fill boxes corresponding with the waiver.


Over 18 Signature / Parent Signature
Emergency Contact - Phone
Minor's Name
Minor's DOB
Minor's Signature - Typing Name is Considered Signature
Parent Name
Parent Signature - Typing Name is Same as Signature