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Papa Wheelies Bicycle Shop
653 Islington St
Portsmouth, NH 03801
603-427-2060
www.papa-wheelies.com

Group Ride Consent and Waiver

Welcome to a Papa Wheelies or Mama Wheelies Group Ride! We need to go over a few things before we can set out on a ride together, and there are a few items our lawyers need for us to have on file. This will just take a few minutes once a year. Thank you for your patience!

We ride with respect, for the road, the trails, and everyone we share them with. That means:

Be aware: We’re not the only ones out here. Respect other cyclists, runners, walkers, drivers, dogs, and even those rogue squirrels who always seem to pick the worst possible moment to cross.

Communicate: Call out when you’re slowing or stopping. Use your voice and your hands to point, show, and tell others where you’re going. Predictability is safety, don’t surprise the folks behind you.

Be seen: Always ride with lights - front and rear - that are charged and turned on at night and recommended during the day.

Know your ride: Your bike needs to be in good working condition to keep you and others safe. If something doesn’t feel right, or you’re not sure whether your bike is road-ready, ask for help. We have professional mechanics on staff at the shop, and our ride leaders are skilled in roadside and trailside repairs. We would love to help you out before a small issue becomes a big problem.

We ride with joy and courtesy. We’re ambassadors of our community every time we roll. Let’s make people glad to share the road and trails with us.

I agree to hold harmless and indemnify Portsmouth Cycle Center, Inc DBA Papa Wheelies Bicycle Shop and it’s owners, agents, and employees, as well as the equipment manufacturers and distributers, of any and all loss or damage I may cause to person or property while engaged in bike related activities. This includes, but is not limited to, any and all claims for personal injury, death and/or property damage that may arise out of the use of this bike and it’s equipment, to myself or others. I understand and am aware that biking is a HAZARDOUS ACTIVITY. I understand that biking involves a risk of injury to any and all parts of my body. I hereby freely and expressly assume and accept responsibility for any and all risks of harm and/or death while participating in this activity.

I understand that it is not possible to predict every situation and condition of the terrain the bike will be ridden on; therefore, it is impossible to guarantee the bike I use will react safely in all riding conditions. I realize it is mandatory that I wear a helmet at all times while biking and that I obey all trail signs and remain on open trails. 

This waiver covers all future Papa Wheelies and Mama Wheelies rides and events.

Medical & Emergency Stuff

If something goes sideways, we’ll do everything we can within our limits - call for help, get your emergency contact on the line - but you’re ultimately responsible for any medical treatment or costs that come from your adventure.

Photo & Media Release

We take photos. We tell stories. You might end up in one. By signing, you give us permission to use those photos and videos for Papa Wheelies social media, website, or future ride flyers.

I have read the above paragraphs and fully understand them. I have made no misrepresentation to Papa Wheelies Bicycle Shop regarding my name, address or age. The below signature acknowledges that as an adult, I also take responsibility for any minors in our party.

This agreement is governed by the applicable law of New Hampshire. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. I agree that there have been no warranties expressed or implied, which have been made to me which extend beyond the descriptions of the equipment listed on this form. I, the undersigned, acknowledge that I have carefully read this agreement and release of liability and I understand it’s contents. I understand that my signature below expressly waives any rights I may have to sue Portsmouth Cycle Center, Inc. for injuries or damage.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Parent or Guardian 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*
Emergency Contact's Relation to Participant
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 Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian Date of Birth*
Date of Birth
Weapon of Choice
What is your regular bike for group rides?
Parent or Guardian 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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