Loading...

Bike to Bend
September 25, 2016
Meet at Cog Wild - 9am

In consideration of being permitted to participate in the Man vs. Elements 5th Annual Bike to Bend Event - Dutchman to Pacific Pizza & Brew on 9/25/16(hereinafter, "this Activity"), which is one activity in a series of group activities known as the Man v. Elements aka MvE series (collectively, "the Activities), I hereby agree to fully release, indemnify and hold harmless Beau Killett his agents, insurers, and/or representatives (collectively, "RELEASED PARTIES") on behalf of myself, my spouse, my minor children, wards, relatives or other persons under my care, my parents, next of kin, my heirs, assigns, personal representatives and estate (collectively "RELEASING PARTIES"). To the fullest extent allowed by law, I agree to defend, indemnify and hold harmless the RELEASED PARTIES for all costs and expenses, including but not limited to all legal fees incurred by the RELEASED PARTIES in defending any claim brought against any or all of the RELEASED PARTIES by me or by any of the RELEASING PARTIES and further agree to pay the full amount of any judgment, award or verdict that might be entered against any of the RELEASED PARTIES and/or in favor of any or all of the RELEASING PARTIES. I understand and acknowledge that participation in the Activities entails known and unknown risks that could result in physical or emotional injury, paralysis, death, or damage to myself or to other persons or to property.

I am fully aware that the Activities, could be hazardous and that I could be seriously injured or even killed. I fully acknowledge that I am voluntarily participating in one or more of the Activities with knowledge of the danger involved, and agree to assume any and all risks of bodily injury, death or property damage, whether those risks are known or unknown.

I acknowledge and understand that "Man v. Elements" aka MvE is not an entity or organization, and neither the RELEASED PARTIES nor any other individual is responsible in any way for the safety of the Activities, ensuring my safety during the Activities, or for the damage or losses caused to third parties or property as a result of the actions of any participant.

I hereby forever unconditionally and irrevocably waive and release any and all claims I now have or may in the future have against the RELEASED PARTIES with respect to any injury, loss or damage I suffer as a result of participating in the Activities orany of the future Activities in which I may participate. I understand and agree that this release agreement extends to and includes any and all damages, injuries, and claims which I do not anticipate or know to exist and to any and all damages, injuries, or claims which may develop in the future, and I hereby expressly waive and relinquish any and all rights under any law or statute to the contrary.

After being fully informed of the above, I, on my own behalf and, to the fullest extent allowed by law, on behalf of all RELEASING PARTIES expressly agree and promise to accept and assume all of the risks inherent to and existing in connection with the Activities; and I voluntarily elect to participate in the Activities.

I hereby agree that all claims regarding this agreement are governed by and construed in accordance with the Laws of Oregon, applicable to contracts wholly made and performed in such jurisdiction, and must be litigated in Oregon, regardless of the inconvenience of the forum. To the extent that any portion, clause or aspect of this agreement is found to be invalid, void or unenforceable, all other portions, clauses or aspects of this agreement shall remain in full force and effect.

I have read the above and fully understand the terms of this agreement and I have either consulted an attorney or elected not to do so. By signing this document, I acknowledge that if anyone is injured or killed, or if property is damaged, during my participation in the Activities, I may be or will be found by a court of law to have waived all right to maintain suit against any of the RELEASED PARTIES and/or that I will be found to be fully responsible for all attorneys fees and all other costs incurred by the RELEASED PARTIES and/or that I will be found personally liable for any judgment, award or verdict entered against any of the RELEASED PARTIES.

I UNDERSTANDING THAT THERE EXIST KNOWN AND UNKNOWN DANGERS OF SERIOUS INJURY AND DEATH ASSOCIATED WITHTHE ACTIVITIES, SOME OF WHICH ARE REFERENCED ABOVE, I NEVERTHELESS CHOOSE TO PARTICIPATE IN THE ACTIVITIES.

Date of Signing: November 14, 2026

 

First Rider's Name
First Name*
Last Name*
First Rider's Age Acknowledgment*
First Rider's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Rider's Signature*
Second Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Third Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Fourth Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Fifth Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Sixth Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Seventh Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Eighth Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Ninth Rider's Name
First Name*
Last Name*
Rider's Date of Birth*
Date of Birth
Tenth Rider's Name
First Name*
Last Name*
Rider'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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!