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Waiver and Release of Liability

I, the undersigned user, acknowledge and understand that during my use of the BrewCycle LLC (BrewCycle) bike bar vehicle (Vehicle) operated by BrewCycle LLC, I may be exposed to a variety of hazards and risks, foreseen or unforeseen, which are inherent in travelling in a vehicle, quadricycling, recreation, exercise and related activities. These inherent risks include, but are not limited to, the dangers of serious personal injury, death and property damage (Injuries and Damages) resulting from, but not limited to: (i) physical exercise and exertion; (ii) physical contact with other vehicles, other individuals and road hazards; (iii) falling or tripping due to road hazards, uneven surfaces or debris; (iv) falling from heights, including falling off the Vehicle; and (v) other hazards associated with travel in a vehicle. I further acknowledge and understand these Injuries and Damages cannot be eliminated without destroying the unique character of the Vehicle.

I fully understand that the BrewCycle has not tried to contradict or minimize my understanding of these risks. I know that Injuries and Damages can occur by natural causes or activities of other persons, other users, staff of BrewCycle or other third parties, either as a result of negligence or because of other reasons. I understand the risks of such Injuries and Damages involved in the Vehicle and I appreciate that I may have to exercise extra care for my own person and for others around me in the face of such hazards. I further understand that there may not be medical personnel or medical facilities or expertise necessary to deal with the Injuries and Damages to which I may be exposed.

In consideration for my acceptance as an eligible user of the Vehicle, and the services and amenities provided by BrewCycle in connection with the Vehicle, I CONFIRM MY UNDERSTANDING OF THE FOLLOWING:

RELEASE OF LIABILITY. To the fullest extent allowed by law, I agree to WAIVE AND DISCHARGE CLAIMS AGAINST, RELEASE FROM LIABILITY, INDEMNIFY, DEFEND, AND HOLD HARMLESS BrewCycle and its parents, subsidiaries and affiliates and their respective past and present officers, directors, stockholders, managers, members, partners, agents and employees (collectively, Released Parties) from and against ANY AND ALL LIABILITY on account of, or in any way resulting from, my death or personal injury relating to my use of the Vehicle, even if caused by NEGLIGENCE of the Released Parties. Such negligence could involve (a) negligent operation and supervision of the Vehicle, (b) negligent maintenance or operation of the equipment or Vehicle in general, (c) negligent manufacture of or use of equipment to be used in the Vehicle, including the Vehicle itself, and (d) the negligent provision of emergency response services. I understand and intend that the assumption of risk and release is binding upon my heirs, executors, administrators and assigns.

This Waiver and Release is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Waiver and Release is held to be invalid or legally unenforceable for any reason, the remainder of this Waiver and Release shall not be affected thereby and shall remain valid and fully enforceable.

I have read this Waiver and Release of Liability in its entirety and I freely and voluntarily choose to use the Vehicle and assume all risks of Injuries and Damages. I acknowledge my waiver of any right I may have to bargain for different terms of this waiver and recognize that a narrower waiver would increase the costs associated with the Vehicle and/or limit or preclude my use of the Vehicle. By my signature below, I acknowledge and represent that I am over twenty one (21) years old and was born on the date below.

First Riders Name

First Name*

Last Name*
First Riders Date of Birth*
First Riders Signature*
Second Riders Name

First Name*

Last Name*
Second Riders Date of Birth*
Third Riders Name

First Name*

Last Name*
Third Riders Date of Birth*
Fourth Riders Name

First Name*

Last Name*
Fourth Riders Date of Birth*
Fifth Riders Name

First Name*

Last Name*
Fifth Riders Date of Birth*
Sixth Riders Name

First Name*

Last Name*
Sixth Riders Date of Birth*
Seventh Riders Name

First Name*

Last Name*
Seventh Riders Date of Birth*
Eighth Riders Name

First Name*

Last Name*
Eighth Riders Date of Birth*
Ninth Riders Name

First Name*

Last Name*
Ninth Riders Date of Birth*
Tenth Riders Name

First Name*

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

Email*

Confirm Email*
Acknowledgements
I acknowledge (check each) *
BrewCycle Portland will NOT provide me a helmet and if I do wish to wear one, I will provide my own.
Any person arriving in an intoxicated condition shall not be allowed on the BrewCycle.
I will not (check each) *
Get off the BrewCycle while it is moving.
Disrespect other riders and passersby by using abusive language.
I understand (check each) *
Failure to obey the rules may lead to the end of my time on the BrewCycle without refund.
If I cause any damages to the BrewCycle or any of the establishments during my time on the BrewCycle, I will be responsible to cover all costs of damages.
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.
Parent or Guardian's Name

First Name*

Last Name*
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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