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COUNTY OF ORANGE EVENT PARTICIPATION

AGREEMENT & WAIVER AND RELEASE OF LIABILITY 

I, _______________________ (“Participant”), acknowledge that I have applied to voluntarily participate in the County of Orange Community Bike Ride for Prostate Cancer Awareness (“this Event”) being held on September 21, 2024. 

 

ASSUMPTION OF RISK – I fully understand that there are risks inherent with riding a bicycle on public trails, streets, and highways, and that other cyclists, whose level of experience may vary, may create additional hazards, and that my participation in this Event may expose me to the risk of personal injury, death and/or property damage. I hereby acknowledge that I am participating of my own free will and agree to assume the full risk of any injuries or damages that may occur in connection with my participation in this Event. 

WAIVER AND RELEASE OF LIABILITY – On behalf of myself, my heirs, personal representatives and next of kin, I hereby waive, release, and discharge the County of Orange and its elected and appointed officials, employees, and agents (collectively, the “County”) from any and all claims for damages and/or liability, including but not limited to those arising from the negligence or fault of the County, for my death, disability, personal injury, property damage, property theft, or actions of any kind related to my participation in this Event and promise not to sue the County for any damages I incur in connection with this Event.

COMPLIANCE WITH RULES - I agree to wear a helmet, to follow bicycle safety procedures, to comply with all rules and regulations of this Event and, to obey all instructions provided by County staff and Event volunteers during my participation in this Event.

MEDICAL RELEASE - I consent to receive and authorize the provision of such medical treatment as may be necessary if any injury, accident, and/or illness occurs during my participation in this Event and agree that I will be solely responsible for any medical costs.

This Agreement & Waiver and Release of Liability shall be construed broadly to the maximum extent permissible under applicable law.

 

I HAVE CAREFULLY READ THIS AGREEMENT & WAIVER AND RELEASE OF LIABILITY AND I KNOW, UNDERSTAND, AND AGREE TO BE BOUND BY ITS CONTENTS, AND SIGN IT OF MY OWN FREE WILL. 

Today's Date: September 13, 2024

First Participant's Name

First Name*

Middle Name

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

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

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

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

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

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

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

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

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

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

Email*

Confirm Email*
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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*

Middle 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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