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COGGS Accident Waiver & Release of Liability- Enduro Race

I acknowledge that cycling involves inherent risks. I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it a potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including but not limited to participants, volunteers, spectators, coaches, event officials, event monitors, producers of the event and lack of hydration. These risks are not only inherent to athletics but are also present for volunteers.

I hereby agree to assume all of the risks of participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released from dangerous or defective property owned, maintained or controlled by them or because of their liability without fault.

• I certify that I am physically fit, have trained sufficiently for participating in this event and have not been advised otherwise by a qualified medical person and I am responsible for my own well-being.

• I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors and organizers in which I may participate and that it will govern my actions and responsibilities at said events.

• 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) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me including my traveling to and from this event THE FOLLOWING ENTITIES OR PERSONS: CYCLISTS OF GITCHEE GUMEE SHORES (COGGS), affiliated organizations and any involved municipalities, their directors, officers, employees, volunteers, representatives or agents, the event holders, event directors, event sponsors, event volunteers, property owners. (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this event whether caused by the negligence of releases or otherwise. I will not make any claim against the above-named entities or persons for injury damage, death or any other loss arising from my participation in this event. I agree to indemnify hold harmless, and defend the above-name entities or persons from and against any and all actions, causes of action, claims, charges, demands, losses, damages, costs and attorney’s fees.

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

• I understand that this even or related activities I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers organizers and/or assigns.

• This Accident Waiver and Release of liability shall be construed broadly to provide a release and waiver to the maximum permissible under applicable law.

• I further agree to abide by all the rules and regulations as set forth by the director of this event.

• I hereby certify that I have read this document and I understand its terms. I attest that I am 18 years of age or older.


First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*

(Note: If entrant is age of 17 or under Signature of Parent or Guardian is require below). The undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from liability, loss, claim of damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.



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*
Parent or Guardian's 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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