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969 Marine Drive
North Vancouver, BC
V7P 1S4
604.987.2168

 

 

 

In consideration of being allowed to participate in any way in the Pas Normal Group Ride,

related events and activities, the undersigned acknowledges, appreciates and agrees that:

  1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and
  2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and
  3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Steed Cycles, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releases”), with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releasees or otherwise.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

First Cyclist's Name
First Name*
Last Name*
First Cyclist's Age Acknowledgment*
First Cyclist's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Cyclist's Signature*
Second Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Third Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Fourth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Fifth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Sixth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Seventh Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Eighth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Ninth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Tenth Cyclist's Name
First Name*
Last Name*
Cyclist's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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