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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT IN CONSIDERATION of being permitted to participate in any way in Northstar Bikes sponsored Bicycling Activities ("Activity") for myself my personal representatives, assigns, heirs and next of kin:

  1. ACKNOWLEDGE, agree and represent that I understand the nature of Bicycling Activities and that I am qualified to participate in such Activity. I fully acknowledge that the Activity will be conducted over public roads, bike trails, and facilities open to the public during the Activity and upon which the hazards of traveling are to be expected. I fully agree and represent that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in this activity.

  2. FULLY UNDERSTAND that (a) BICYCLING ACTIVITIES INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY , PARALYSIS AND DEATH ('Risks"); (b) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL ECONOMIC LOSSES 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 LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity.

  3. HEREBY RELEASE DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS Northstar Bikes, their representatives, directors, agents and employees, other participants, any sponsors, advertisers, and if applicable, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR PART BY THE NEGLIGENCE OF THE "RELEASES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTANDING ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND AFFECT.

 Today's Date: March 29, 2025

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Discord
I am currently in the Northstar Bikes Community Discord Server *
Yes
No, but would like to be added.
No

Discord User Name
I would like to receive Discord updates for group rides.*
No
Yes
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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