SISTERS CYCLING BICYCLE CLUB
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SISTERS CYCLING BICYCLE CLUB
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Please print and complete the application and waiver below and mail to Sisters Cycling
Tour-de-Lakes A recreational bicycle tour through the scenic lake country of western Oakland County Memorial Day, 2007 presented by Sisters Cycling Bicycle Club Springtime in Michigan provides a beautiful backdrop in the scenic lake country of western Oakland County for the Tour-de-Lakes bicycle tour. The Sisters Cycling Bicycle Club is capturing this unique opportunity to offer the TDL to cyclists, making it the only bicycle tour in southeast Michigan scheduled on the Memorial Day holiday. The TDL offers an 8 mile Family Ride and 31 & 62 mile routes for more experienced cyclists. This year the TDL will offer a cookout at the end of the ride for all registered cyclists. Participants in the longer routes should be experienced road cyclists, comfortable riding with traffic, physically conditioned to complete the route distance selected, and use only bicycles in good mechanical condition. All participants must wear an approved helmet. THE DETAILS
Official Registration and Release — Tour-de-Lakes Please Print Legibly — Make checks payable to "Sisters Cycling" and Mail to: Sisters Cycling Bicycle Club, P.O. Box 32044, Detroit, MI 48323-0044 One (1) rider per registration form, this form may be duplicated, include a self addressed stamped envelope if you would like a receipt. Name:___________________________________________________________ Age (if under 18):_________________ Address:_________________________________________________________ City:_______________________________________ State:_____________ Zip Code:_______________________ Phone Number: (include area code):___________________________________ Emergency Contact:____________________________________Phone Number:______________________________ Registration (LIMITED TO first 500 RIDERS) Route (Circle One): 8 mile Family Route 50 Km (31 mile) 100 Km (62 mile)
LEAGUE OF AMERICAN WHEELMAN d/b/a LEAGUE OF AMERICAN BICYCLISTS ("LAB") RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT") IN CONSIDERATION of being permitted to participate in any way in Sisters Cycling Bicycle 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 travelling 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 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 condition 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 incur as a result of my participation or that of the minor in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, the LAB, their 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 HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY 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 AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. PRINTED NAME OF PARTICIPANT:_____________________________________________________________________ ADDRESS:_________________________________________________________________________________________ PHONE:____________________________ PARTICIPANT’S SIGNATURE (only if age 18 or over): ______________I HAVE READ THIS RELEASE_____________ DATE:_________________________ 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 RELEASEE’S 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. PRINTED NAME OF PARENT/GUARDIAN:_______________________________________________________________ ADDRESS:_________________________________________________________________________________________ PHONE:____________________________ PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18): ______ I HAVE READ THIS RELEASE_____ DATE:_________________________ You will need Adobe Acrobat Reader to access these files.  |
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This webspace is donated by the League of Michigan Bicyclists - THANK YOU! This website was last updated: May 21, 2007 08:53 AM |
