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RCA Youth Rides

Liability Waiver and Registration Form

EVENT DATES: April 30, 2024 to June 18, 2024

 

 

RELEASE OF LIABILITY, WAIVER OF CLAIMS, 

ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT 

(hereinafter the “Release Agreement”)

 

BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, 

INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT

 

PLEASE READ CAREFULLY!

 

EVENT DATES: April 30, 2024 to June 18, 2024

FOR ALL EIGHT (8) SHREDHERS AND SHREDCOED RIDES OCCURRING DURING THE PERIOD BEGINNING APRIL 30, 2024 AND ENDING JUNE 18, 2024


November 5, 2024

 

TO: MATHEW JOSEPH YAKI dba WANDERING WHEELS, STOKE YOUTH NETWORK, REVELSTOKE CYCLING ASSOCIATION and their respective directors, officers, employees, agents, independent contractors, subcontractors, guides, representatives, successors, assigns, volunteers, participants, sponsors, promoters, and advertisers (all of whom are hereinafter collectively referred to as “the Releasees”).

DEFINITIONS: In this Release Agreement, the term “Mountain Biking” shall include all activities, accommodation, rental equipment, transportation, events, and services provided, arranged, organized, conducted, sponsored, or authorized by the Releasees and shall include but is not limited to: guided mountain bike activities, mountain bike skills training, kids camps, packaged mountain bike vacations, accommodation, use of trails and roads, demonstrations and events; loading, unloading, and travel by or movement in or around helicopters, bicycles, and motor vehicles; encounters and attacks by any animals; and other activities, events, and services in any way connected with or related to Mountain Biking.

ASSUMPTION OF RISKS: I am aware that Mountain Biking involves risks, dangers, and hazards, including but not limited to: transportation in vehicles, use of chairlifts and gondolas; changing weather conditions; mechanical failure of equipment; falls; loss of balance; high speed descents; difficulty or inability to control one’s speed and direction; rapid or uncontrolled acceleration on hills and inclines; extreme variation in cycling terrain including steep or slippery sections, trees, roots, tree stumps, rocks, logs, cliffs, rock drops, loose gravel, holes, depressions, streams and creeks; constructed features such as bridges, ramps, ladders, bumps, berms, jumps, and drops; impact or collision with other persons or objects; encounters with domestic and wild animals including dogs and bears; negligence of other persons, including other guests; and NEGLIGENCE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF MOUNTAIN BIKING.

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MOUNTAIN BIKING AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.

MEDIA RELEASE: I consent to the use of my portrait, picture or photograph, or presence in a video, as part of any of the Releasee’s undertakings. I understand that my image may be published or otherwise used at any time and on any medium (including, electronic, print, and other media). I agree that I shall have no claim against the Releasees or against anyone accessing media on which my image appears.


RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of my participation in Mountain Biking with the Releasees, I hereby agree as follows:

  1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE RELEASEES and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Mountain Biking, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF MOUNTAIN BIKING REFERRED TO ABOVE;
  2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES for any and all liability for any property damage, loss or personal injury to any third party resulting from my participation in Mountain Biking;
  3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity; 
  4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of British Columbia and no other jurisdiction; and 
  5. Any litigation involving the parties to this Release Agreement shall be brought solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the Province of British Columbia.

In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees other than what is set forth in this Release Agreement.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.

 

I Agree
November 5, 2024


First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Third Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Fourth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Fifth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Sixth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Seventh Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Eighth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Ninth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
Tenth Participant's Name

First Name*

Middle Name

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

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
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
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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.


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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Height *

Weight *

How long have you been actively mountain biking? *
Please select the sentence that best describes your riding fitness.*
Please select the sentence that best describes your mountain biking skill level.*

Do you have any special dietary needs or restrictions? If yes, please specify here:

Do you have any known relevant medical conditions or allergies? If yes, please specify here:

Do you require or carry any medications? If yes, please list them here:
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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