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Release Liability Waiver

You cannot participate in a Lucca Cycling Club ride without a signed waiver, release & consent. By participating in a ride by Lucca Cycling Club you agree to the following conditions.  

  • I freely acknowledge and realize the potential danger of participating in a ride by Lucca Cycling Club and fully assume all risk including, but not limited to, collision with pedestrian vehicles, other riders and/or other fixed moving objects or persons, the negligence of other riders, my own negligence and/or the negligence tour guides, Lucca Cycling Club employees, agents and/or representatives, and dangers arising from falls and public road or path surfaces, weather conditions, encounters with animals and/or plant life, tainted food or water, consumption of alcohol, known or unknown medical conditions, as well as the possibility of physical and/or mental trauma or injury. I understand the description of these risks is not complete and that unknown or unanticipated risks may result in injury, illness, or death. I agree to be responsible for my own wellbeing and negligence. I freely and voluntarily assume complete personal responsibility for these risks and for the injuries or death that may occur as a result of these risks, even if such injuries or death occur in a manner that is not foreseeable at the time this agreement is signed.
  • I understand that if I leave before or after the ride starting time or travel a course different from the ride route as recommended by the guide, I will not receive services as published or advertised. I further agree to pay all fees associated with any diversion I choose to make from all or part of the event.
  • I realize that rides by Lucca Cycling Club require physical exertion, and I represent that I am in sound medical condition and capable of participating in the bicycle ride without risk to others of myself.
  • I have no physical or medical impediment that could be reasonably expected to endanger others or myself.
  • I understand that the law defines a bicycle as a moving vehicle and I agree to follow all traffic laws, signs, rules and regulations accordingly.
  • At all times during my participation in a ride by Lucca Cycling Club, I agree to adhere to all safety rules and regulations of Lucca Cycling Club which includes a zero alcohol policy and wearing a helmet at all times while riding a bicycle.
  • As a responsible adult, I fully recognize that riding a bicycle on roads is inherently dangerous and that accidents can happen at any time and in any place during a ride or ride. I am solely responsible for the manner in which I ride.
  • I hereby take action for myself, my executors, administrators, heirs, next of kin, successors to release, indemnify and agree to hold harmless Lucca Cycling Club, its officers, directors, representatives, employees, agents and participants of any from losses, costs, damages, claims, demands, rights and causes of action of any kind or nature including attorneys’ fees, and including any and all negligence claims of causes of action, which may arise and which 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 the ride by Lucca Cycling Club.
  • I agree that I will use good judgment, be self-reliant, and stop to request assistance if I am unsure of my ability to complete any segment of the event safely.
  • In the event of any injury or accident, I agree to notify the ride leader, and consent to and permit the administration of emergency medical treatment.
  • I grant permission to the ride organizer to take (or cause others to take) photographs and videos of me during the ride, and to use the same for any purpose including but not limited to promoting, advertising and marketing.
  • I acknowledge and agree that any such photographs and videos shall be the sole property of the organizer and its assigns.
  • I understand that severe weather or other conditions out of control of the ride organizers may cause the ride to be canceled.
  • In these cases, I understand that all costs I have incurred to attend the ride are not refundable.
  • I agree to this freely and voluntarily without any inducement, assurance or guarantee being made to me and I intend this submission to be a complete and unconditional release of released parties to the greatest extent allowed by law.
  • I agree that this complete waiver, release, and consent is binding on my heirs, proxies, and assigns.

Minors: If you are under 18 years old, your parent or guardian must agree to the above conditions before the entrant may participate in any ride or event by Lucca Cycling Club.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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