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NEMBA RIDE Waiver

RELEASE FROM LIABILITY AND AGREEMENT NOT TO SUE
This document effects your legal rights.  You should read it carefully before signing.

I understand and acknowledge that by signing this document, I am releasing, on behalf of myself (and my minor children, if any) and my agents, heirs, executors, administrators, and assigns (collectively "Releasors"), the New England Mountain Bike Association, the managing agencies operating the public land on which this event is held, and their respective volunteers, sponsors, promoters, affiliates, heirs, attorneys, directors, officers, employees, agents, members, successors and assigns (collectively "Releasees"), from any and all claims, debts, demands, rights, actions, causes of action, whether known or unknown, at law or in equity, which I ever had, now have, or in the future may have against Releasees relating to or in connection with my participation (or that of my minor children) in the NEMBA Trail Ride (hereafter “NTR”), including, but not limited to, personal injuries and property damage which have arisen or which may arise out of any activities related to the NTR, whether or not caused by the negligence of any of Releasees.

Releasors agree not to sue any of Releasees for or in connection with my personal injuries, death, or property damage (or those of my minor children, if any) resulting from participation in the NTR. I understand and acknowledge that bicycle riding is a physically demanding and dangerous activity which may result in personal injury and/or property damage.  I further understand and acknowledge that I (and my minor children, if any) have a responsibility to follow the instructions of NTR personnel and to be familiar with the terrain on which NTR activity occurs.  I further represent that I (and my minor children, if any) are in good health and are physically prepared to participate in NTR activities. For the valuable consideration of the acceptance of my application (and/or that of my minor children, if any) to participate, observe, ride, or volunteer in NTR, and to enter the site of NTR activities, I freely agree to the terms of this Release.  With this Release, I intend to bind myself (and my minor children, if any) and my agents, heirs, executors, administrators, and assigns.

I acknowledge that this Release is a contract with legal consequences and not a mere recital, that I have been advised to read it carefully before signing, and that I sign my name below as my own free act and deed.

First Rider's Name

First Name*

Last Name*
First Rider's Date of Birth*
I certify that I am 18 years of age or older
First Rider's NEMBA Membership?
No
Yes
First Rider's Signature*
Second Rider's Name

First Name*

Last Name*
Second Rider's Date of Birth*
Second Rider's NEMBA Membership?
No
Yes
Third Rider's Name

First Name*

Last Name*
Third Rider's Date of Birth*
Third Rider's NEMBA Membership?
No
Yes
Fourth Rider's Name

First Name*

Last Name*
Fourth Rider's Date of Birth*
Fourth Rider's NEMBA Membership?
No
Yes
Fifth Rider's Name

First Name*

Last Name*
Fifth Rider's Date of Birth*
Fifth Rider's NEMBA Membership?
No
Yes
Sixth Rider's Name

First Name*

Last Name*
Sixth Rider's Date of Birth*
Sixth Rider's NEMBA Membership?
No
Yes
Seventh Rider's Name

First Name*

Last Name*
Seventh Rider's Date of Birth*
Seventh Rider's NEMBA Membership?
No
Yes
Eighth Rider's Name

First Name*

Last Name*
Eighth Rider's Date of Birth*
Eighth Rider's NEMBA Membership?
No
Yes
Ninth Rider's Name

First Name*

Last Name*
Ninth Rider's Date of Birth*
Ninth Rider's NEMBA Membership?
No
Yes
Tenth Rider's Name

First Name*

Last Name*
Tenth Rider's Date of Birth*
Tenth Rider's NEMBA Membership?
No
Yes
Rider's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Email me a copy of this document.
I am the parent or legal guardian of the above named minor. I have read and understand this Agreement in its entirety and understand that it relates to surrendering valuable legal rights of the minor and myself. I agree to be bound by all the terms of this form. I also give my consent to the participation of the activity of the minor.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's NEMBA Membership?
No
Yes
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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