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Riders in the UpaDowna Pedal Party are required to sign the waiver once a year.

PEDAL PARTY-
ACCIDENT WAIVER AND RELEASE OF LIABILITY

Each of the undersigned (each a “Participant”) acknowledges that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, physical condition of the Participant, equipment, vehicular traffic, lack of hydration, and actions of other people, including without limitation participants, volunteers, spectators, coaches, event officials, event monitors, and/or producers of the event. These risks are not only inherent to athletes, but are also present for volunteers. Each Participant hereby assumes any and all of the risks of participating and/or volunteering in this event. Each Participant realizes that liability may arise from negligence of carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. Each Participant certifies that he/she is physically fit, has sufficiently trained for participation in the event and has not been advised otherwise by a qualified medical person that he/she can’t participate. Each Participant acknowledges that this Pedal Party Accident Waiver and Release of Liability (“Release”) form will be used by the event holder, sponsors, and organizers of the event and that it will govern his/her actions and responsibilities at said event.
In exchange for being permitted to participate in this event, each Participant, on behalf of Participant and Participant’s executors, administrators, heirs, next of kin, successors, and assigns, hereby waives, releases and discharges ride host, City of Colorado Springs, UpaDowna, its directors, officers, employees, volunteers, representatives, and agents, participating non-profit organizations, the event holders, event sponsors, event directors, event volunteers, and event officials (collectively, the “Releases”) from, any and all present and future claims, liability, demands, damages, causes of action, losses, or expenses (including attorneys’ fees) to a Participant, on account of death, disability, personal injury, property damage, property theft or actions of any kind arising from Participant’s participation in the event or related activities, whether such injury, death or other damage be caused by the negligence or gross negligence of the Releases or otherwise suffered either during the event or traveling to or from the event. Each Participant further agrees to indemnify and hold harmless the Releases from any and all liabilities or claims made by other individuals or entities as a result of such Participant’s act or omissions during the event.
Each Participant hereby consents to receive any medical treatment which may be deemed advisable in the event of injury, accident and/or illness during this event. Each Participant understands that the activities that he/she is participating in may be conducted at sites that are remote from available medical assistance and nonetheless agrees to proceed with such participation in spite of the possible absence of medical assistance. Each Participant acknowledges that this event is not an event permitted by USA Cycling and that USA Cycling insurance does not apply. Each Participant hereby authorizes ride host and UpaDowna to copyright and/or publish any and all photos, videotapes, and/or films in which Participant appears while attending the event. Participant further agrees that ride host, and the event producers, sponsors and organizers may transfer, use or cause to be used, such photographs, videotapes or films for any exhibitions, public displays, publications, commercials, art and advertising purposes without limitations or reservations
This Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Each Participant hereby certifies that he/she has read this document and understands its contents. If a Participant is a minor child, then the undersigned hereby states that he/she is the parent or legal guardian of the minor child and, as such, has the authority to and hereby does sign this Release on behalf of the minor child.

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
Check to receive information and news by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Please fill out the following to help UpaDowna track our Pedal Party Participants.

What is your zip code? *
Where did you hear about this event? *
I've come on the ride before
a friend
Facebook
UpaDowna.org
A poster or flyer
Oskar Blues
Other

If "other", where at?
What is your age range?*
Under 1 year
1-5
6-10
11-15
16-20
21-30
31-40
41-50
51-60
61-70
70+
What best describes your cycling habits?*
Just getting back into cycling
Beginner (e.g. never owned a bike or just got one, ride infrequently)
Intermediate (e.g. own a bike, ride weekly)
Advanced (e.g. own one or multiple bikes, ride frequently)
Pro (e.g. enter into races, commute to work, ride almost daily)
How long has it been since you've been on a bike? (Don't worry, all level of cyclists are welcome here!)*
more than 10 years
a couple years
a few weeks
1-10 days
only a couple hours
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*

Middle Name

Last Name*

Relationship*
Parent or Guardian's 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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