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PLEASE READ CAREFULLY!
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

TO: Simon Lawton Inc., DBA: Fluidride (hereafter referred to as Fluidride)
In this agreement the term “mountain biking” shall include but is not limited to: instructional skill sessions, group rides, races, contests, demonstrations, seminars, and other such events and services in any way connected with or related to those activities.

VOLUNTARY PARTICIPATION
I acknowledge that I am voluntarily participating in Mounting Biking with Fluidride. In this agreement, the term "Mountain Biking" shall include, but is not limited to: instructional skill sessions; group or individual rides; races; contests; demonstrations; seminars; post-ride social activities, and any other events, services, or activities in any way connected with or related to mounting biking with Fluidride.

I VERIFY THAT I HAVE READ AND UNDERSTAND THIS VOLUNTARY PARTICIPATION STATEMENTBY CHECKING THE FOLLOWING " I AGREE" CHECK BOX:

I Agree

ACKNOWLEDGEMENT – SAFETY
I acknowledge that I have been advised to wear an approved helmet while bicycling. I undertake and agree to remove myself from participation if I sense or observe any unusual hazard or unsafe condition, or if, at any time, I feel unable or unfit to safely continue for any reason. I understand that the sole responsibility for my personal safety remains with me, including my physical preparation and fitness to participate in any activities.

I VERIFY THAT I HAVE READ AND UNDERSTAND THIS SAFETY ACKNOWLEDGE STATEMENTBY CHECKING THE FOLLOWING " I AGREE" CHECK BOX:

I Agree

ASSUMPTION OF RISKS

I acknowledge that there are significant risks, dangers, and hazards involved in participating in Mountain Biking.  I further understand that these risks, dangers, and hazards are inherent in the activity and that injuries are a common and ordinary occurrence, notwithstanding specialized training and skills, safety equipment, and other precautionary measures. These risks, dangers, and hazards include, but are not limited to: mechanical failure of the mountain bike or equipment; changing weather conditions; collision with natural or manmade falling objects including but not limited to exposed rock, snow, ice, earth, trees, stumps or branches on or adjacent to the trail or terrain; collision or encounters with other mountain bikers, wildlife, pedestrians, vehicles, fences or posts; gunfire or bow and arrow; changes or variations in the trail or terrain; streams, creeks, and holes in or near the trail or terrain; cliffs; road-banks or cut banks; variation or steepness of the trail or terrain; difficulty or inability to control one's speed or direction; loss of balance; rapid or uncontrolled acceleration on hills and inclines; becoming lost or separated from instructors or other participants; failure to bicycle safely or within ones own ability or within designated areas; negligence of other mountain bikers or participants; and NEGLIGENCE ON THE PART OF FLUIDRIDE OR ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, VOLUNTEERS, OR SPONSORS, INCLUDING THEIR FAILURE TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF MOUNTAIN BIKING.

I FREELY ACCEPT AND FULLY ASSUME ALL RISKS, DANGERS, AND HAZARDS OF MOUNTAIN BIKING (INCLUDING NEGLIGENCE OR INTENTIONAL ACTS ON THE PART OF FLUIDRIDE OR ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, VOLUNTEERS, OR SPONSORS) AND THE POSSIBILITY OF BODILY INJURY, DEATH, DISABILITY, OR PROPERTY DAMAGE THAT MAY RESULT THEREFROM DUE TO ANY CAUSE WHATSOEVER AND WITHOUT LIMITATION.

I VERIFY THAT I HAVE READ AND UNDERSTAND THIS ASSUMPTION OF RISKS STATEMENTBY CHECKING THE FOLLOWING " I AGREE" CHECK BOX:

I Agree

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
For myself and on behalf on my heirs, personal representatives, executors, administrators, agents, and assigns, I agree to WAIVE, RELEASE, INDEMNIFY, DEFEND, AND HOLD HARMLESS Fluidride and its directors, officers, employees, agents, representatives, volunteers, sponsors, successors, assigns, and all others who are involved with my participation in Mountain Biking (collectively Releasees) from and against any and all liabilities, damages, claims, demands, losses, or causes of action of every kind (collectively Claims), including, but not limited to, Claims for bodily injury, death, disability, property damage, or property theft, EVEN IF ARISING FROM NEGLIGENCE OR INTENTIONAL ACTS ON THE PART OF THE RELEASEES OR OTHERWISE, that in any manner relate to or arise out of my participation in Mountain Biking, to the full extent permitted by law.

I VERIFY THAT I HAVE READ AND UNDERSTAND THIS RELEASE OF LIABILITY, WAIVER OF CLAIMS AN INDEMINTY AGREEMENT STATEMENT BY CHECKING THE FOLLOWING " I AGREE" CHECK BOX:

I Agree

MEDIA RELEASE

For good and valuable consideration, receipt of which is hereby acknowledged, I authorize Simon Lawton Iinc., DBA: Fluidride (“Company”) and their respective affiliates, subsidiaries, licensees, successors and assigns to make use of my appearance for the Company.

I agree that you may tape and photograph me, and record my voice, conversation and sounds, including any performance of any musical composition(s), during and in connection with my appearance and that you shall be the exclusive owner of the results and proceeds of such taping, photography and recording with the right, others to use, in any manner, all or any portion thereof or of a reproduction thereof in connection with the Company or otherwise. For purposes of clarity, I expressly waive any and all moral rights I may have in connection with my appearance.

I further agree that you may use and license others to use my name, voice, likeness and any biographical material concerning me which I may provide, in any and all media and in the promotion, advertising, sale, publicizing and exploitation of Fluidride and/or otherwise and ancillary products (e.g., merchandise) in connection with Fluidride and in connection with Company’s affiliated services, throughout the world in all media, an unlimited number of times in perpetuity. I further represent that any statements made by me during my appearance are true, to the best of my knowledge, and that neither they nor my appearance will violate or infringe upon the rights of any third party.

I hereby waive any right of inspection or approval of my appearance or the uses to which such appearance may be put. I acknowledge that you will rely on this permission potentially, at substantial cost to you and hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.

I VERIFY THAT I HAVE READ AND UNDERSTAND THIS MEDIA RELEASE STATEMENT BY CHECKING THE FOLLOWING "I AGREE" CHECK BOX:

I Agree

I HAVE CAREFULLY READ THIS RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, AND INDEMNITY AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS TERMS.  I FURTHER ACKNOWLEDGE THAT BY SIGNING BELOW I AM FREELY AND VOLUNTARILY WAIVING SUBSTANTIAL RIGHTS AS DESCRIBED ABOVE. MY SIGNATURE ALSO CONFIRMS THAT IF I FAILED TO UNDERSTAND ANYTHING IN THIS AGREEMENT, I HAVE SOUGHT AND RECEIVED AN EXPLANATION OF ITS MEANING AND SIGNIFICANCE TO MY COMPLETE SATISFACTION.

Today's Date: August 20, 2019

 

First Rider's Name

First Name*

Last Name*

Phone*
First Rider's Date of Birth*
First Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
First Rider's Signature*
Second Rider's Name

First Name*

Last Name*
Second Rider's Date of Birth*
Second Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Third Rider's Name

First Name*

Last Name*
Third Rider's Date of Birth*
Third Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Fourth Rider's Name

First Name*

Last Name*
Fourth Rider's Date of Birth*
Fourth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Fifth Rider's Name

First Name*

Last Name*
Fifth Rider's Date of Birth*
Fifth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Sixth Rider's Name

First Name*

Last Name*
Sixth Rider's Date of Birth*
Sixth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Seventh Rider's Name

First Name*

Last Name*
Seventh Rider's Date of Birth*
Seventh Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Eighth Rider's Name

First Name*

Last Name*
Eighth Rider's Date of Birth*
Eighth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Ninth Rider's Name

First Name*

Last Name*
Ninth Rider's Date of Birth*
Ninth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Tenth Rider's Name

First Name*

Last Name*
Tenth Rider's Date of Birth*
Tenth Rider's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Emergency Contact

Emergency Contact Name *

Emergency Contact Phone Number *
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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