Rainbow Cyclists, P.O. Box 3344, San Diego CA 92163RIDE NAME:________________________ DATE:______, 20___ MILES:____
WAIVER OF NEGLIGENCE AND COMPLETE RELEASE OF LIABILITY
Rainbow Cyclists, P.O. Box 3344, San Diego CA 92163
I wish to participate in this non-competitive bicycle ride sponsored by
Rainbow Cyclists.
I understand that in participating in this ride I will be using public
streets and facilities where many hazards exist and I am aware of and
appreciate the risks which may result. I am also aware that accidents may
occur during bicycle riding and that I may be seriously injured or killed as a
result. I am voluntarily participating in this ride with knowledge of the
dangers involved and I agree to accept any and all risks of injury or
death.
In consideration for being permitted by Rainbow Cyclists,
to participate in this ride, I agree
to assume all risks and to release and hold harmless Rainbow Cyclists/San
Diego (as well as their
directors, officers, agents, employees and members), who, through negligence,
carelessness or any other cause might otherwise be liable to me. I intend by
this Waiver and Release to release, in advance, and to waive my rights and to
discharge Rainbow Cyclists, and all other persons mentioned above, from any and all claims for
damages for death, personal injury or property damage which I may have, or
which may hereafter accrue to me, as a result of my participation in this
ride, even though that liability may arise from negligence or carelessness on
the part of the persons or entities mentioned above.
I understand and agree that this Waiver and Release is binding on my heirs,
assigns and legal representatives.
I am physically capable of completing this ride. If I am aware of or under
treatment for any physical infirmity, ailment or illness, my medical care
provider knows of and has approved my participation in this ride.
I agree to accept and abide by all instructions of the ride contact
person.
I have carefully read this Waiver and Release and fully understand its
contents. I am aware that this is a release of liability and a
contract between myself and Rainbow Cyclists
and sign it of my own free will.
Parental signature is required if the rider is under 18 years of age.
ANSI or Snell-Certified Helmets Now Required!
1. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 2. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 3. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 4. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 5. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 6. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 7. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 8. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 9. Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________ 10.Signature:____________________Date:__/__/__Print Name:__________________ Address_______________________Emergency Phone:__________________________