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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

Company: Radical Roots MTB LLC

Email: info@radicalrootsmtb.com

This ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM (“Release”) is entered this day June 15, 2025 between the undersigned participant and RADICAL ROOTS MTB LLC d.b.a. RADICAL ROOTS MTB INSTRUCTION, a Washington State limited liability company (“Radical Roots”) in relationship to any and all classes, clinics, rides, coaching, tours, training, or any other activity or event sponsored, led, or organized by, or in any way involving, Radical Roots (“Event”).

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THE EVENT, including, by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of Radical Roots or other persons being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault, and for any acts of any other participant in the Event.

I acknowledge that this Release will be used and relied upon by Radical Roots, Event holders, sponsors, independent contractors, and other organizers associated with any Event in which I may participate, and that it will govern my actions and responsibilities at the Event.

In consideration of my application and permitting me to participate in this Event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE RADICAL ROOTS, and/or its members, managers, directors, officers, employees, (including, but not limited to, Angi Weston) volunteers, representatives, and agents, the activity or Event holders, sponsors, Event volunteers, and owners of any real property where an Event may occur (collectively “Released Parties”) from any and all liability, including, but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from any Event;

(B) I WILL INDEMNIFY, HOLD HARMLESS, DEFEND, AND PROMISE NOT TO SUE the Released Parties from any and all actions, suits, liabilities, damages, injuries, or claims arising out of the Event and/or my participation in this Event, whether caused by my negligence of release or otherwise.

I acknowledge that this Event may involve a test of my physical and mental limits and may carry with it the potential for death, serious injury, and property loss.  The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, and actions of other people, including, but not limited to, participants, volunteers, spectators, and/or producers of the Event.  These risks are not only inherent to participants, but are also present for volunteers.

(C) I hereby authorize Radical Roots to use my name, and images of me or my likeness, including, but not limited to, films, videos, photographs, and otherwise on any medium, including, but not limited to, Facebook, websites, blogs, brochures, and newsletters that were taken or prepared during the Event.

I hereby consent to receive medical treatment which may be deemed advisable in case of injury, accident, and/or illness during the Event.

This Release shall be governed and interpreted under the laws of the state of Washington, and I hereby consent and agree that any action to enforce or interpret this Release shall be commenced in the Superior Court for the State of Washington, Whatcom County.  In any action to enforce or interpret this Release, the prevailing party shall be entitled to recover its/his/her attorneys’ fees and costs from the other party.  This Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL.

Today's Date: June 15, 2025

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Participant'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*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
As consideration for allowing the minor to participate in the Event, the parent of the minor must sign and agree to the following. The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the Event, and has agreed individually to the terms of the accident waiver and release of liability set forth above, and shall be bound to the terms and conditions. The undersigned parent or guardian further agrees that he/she will defend, hold harmless, and indemnify the Released Parties from all suits, liabilities, damages, injuries, or claims suffered by or brought by the Minor, or arising out of any injury or death to the Minor, and/or the above Minor’s participation in this Event, whether caused by the negligence of a Released Party or otherwise. Such duty to defend, indemnify, and hold harmless shall extend to any claim, demand, suit, or judgment arising from the use of the Minor’s name, and images of Minor or his/her likeness, including, but not limited to, in films, videos, photographs, and otherwise on any medium, including, but not limited to, Facebook, websites, blogs, brochures, and newsletters that were taken or prepared during the Event.


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 Date of Birth*
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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