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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

WARNING: READ THIS AGREEMENT CAREFULLY. IT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS. IF YOU SIGN THIS AGREEMENT YOU ARE GIVING UP THE RIGHT TO SUE RANDONNEURS USA AND OTHER PARTIES.

IN CONSIDERATION of being permitted to choose and ride a bicycle Super Randonnee (SR600) route from the list of SR600 routes on the RANDONNEURS USA (“RUSA”) website, I hereby acknowledge, agree and represent as follows:

1. I FULLY UNDERSTAND that any SR600 that I may ride is a self-supported ride. I further acknowledge that I have voluntarily chosen to ride the SR600 after reviewing the route and I accept full responsibility for choosing and riding the route on the date that I have selected.

2. I FULLY UNDERSTAND that: (a) bicycle riding is dangerous and represents an extreme test of a person’s physical and mental limits. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis, illness and death, including viral infections such as COVID-19; loss of, or damage, to equipment/property; exposure to extreme conditions and circumstances; contact or collision with other bicycle riders, people, vehicles, animals, or other natural or manmade objects; imperfect course conditions; road and surface hazards; inadequate safety measures; other riders of varying skill levels; situations beyond the immediate control of anyone; and other undefined risks and dangers which may not be readily foreseeable or are presently unknown (“Risks”); (b) I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others, or the acts, inaction or negligence of the Released Parties defined below, and (c) there may be other risks and social and economic losses, costs and damages to me, my family members and dependents either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR ALL LOSSES, COSTS, AND DAMAGES I, my family members and dependents may incur as a result of my riding a SR600.

3. I am qualified, in good health, and in proper physical condition to ride a SR600. I agree and warrant that if, at any time, I believe conditions, including road hazards, to be unsafe or if I am not feeling well, I will immediately discontinue further riding of the SR600.

4. The SR600 may be ridden while there is a Coronavirus (“COVID-19”) pandemic in the United States of America. I attest and represent that at this time I do not have, nor have I recently experienced, any of the following new and unexplained conditions: fever, chills, cough, shortness of breath, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, new congestion or runny nose, nausea or vomiting. I further attest and represent that I have had no known exposure to COVID-19 in the past fourteen (14) days.

5. TO THE FULLEST EXTENT PERMITTED BY LAW, I, ON BEHALF OF MYSELF, MY FAMILY MEMBERS AND DEPENDENTS HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Randonneurs USA, Audax Club Parisien ("ACP"), the SR600 route organizer, the US ACP SR600 Representative, their respective administrators, directors, agents, officers, members, volunteers, other riders, and owners and lessors of premises on which the permanent takes place, ("RELEASED PARTIES") FROM ALL LIABILITY, CLAIMS, DEMANDS, ACTIONS, LOSSES, COSTS OR DAMAGES (HEREAFTER, “CLAIMS”) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE ACTS OR OMISSIONS, INCLUDING NEGLIGENCE, OF THE "RELEASED PARTIES", INCLUDING, WITHOUT LIMITATION, RESCUE OPERATIONS. I further agree that if, I, or anyone on my behalf, makes a Claim against any of the Released Parties, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASED PARTIES from any litigation expenses, attorney fees, losses, liability, damages, or costs which any Released Party may incur as the result of such Claim.

This agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I AM 18 YEARS OF AGE OR OLDER, HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, HAVE SIGNED IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY. I INTEND THAT THIS AGREEMENT ALSO SHALL BE BINDING UPON MY HEIRS, NEXT OF KIN, REPRESENTATIVES, SUCCESSORS AND ASSIGNS. I AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

WARNING: READ THIS AGREEMENT CAREFULLY. IT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS. IF YOU SIGN THIS AGREEMENT YOU ARE GIVING UP THE RIGHT TO SUE RANDONNEURS USA AND OTHER PARTIES.

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 :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
First Rider's Signature*
Second Rider's Name

First Name*

Last Name*
Second Rider's Date of Birth*
Second Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Third Rider's Name

First Name*

Last Name*
Third Rider's Date of Birth*
Third Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Fourth Rider's Name

First Name*

Last Name*
Fourth Rider's Date of Birth*
Fourth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Fifth Rider's Name

First Name*

Last Name*
Fifth Rider's Date of Birth*
Fifth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Sixth Rider's Name

First Name*

Last Name*
Sixth Rider's Date of Birth*
Sixth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Seventh Rider's Name

First Name*

Last Name*
Seventh Rider's Date of Birth*
Seventh Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Eighth Rider's Name

First Name*

Last Name*
Eighth Rider's Date of Birth*
Eighth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Ninth Rider's Name

First Name*

Last Name*
Ninth Rider's Date of Birth*
Ninth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
Tenth Rider's Name

First Name*

Last Name*
Tenth Rider's Date of Birth*
Tenth Rider's :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
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.
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 :Ride Info
Select SR600*

RUSA # *

SR600 Route *

Ride Date *
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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