|Guests:||Read, complete, and sign the “ Release and Waiver ”.|
THE FOLLOWING IS A RELEASE AND WAIVES YOUR RIGHTS IN THE EVENT OF YOUR INJURY AND/OR DEATH.
By participating on this Elmhurst Bicycle Club activity, including, if applicable, transportation to and from same, I do hearby for myself, my heirs, executors, and administrators, RELEASE, WAIVE, & FOREVER DISCHARGE, the Elmhurst Bicycle Club, it's officers, and members from any and all claims, demands, actions, or liabilities on account of any injury to me which may occur from any cause whatever, including negligence, on the part of anyone released hereunder, during my participation in or transportation to or from this ride. I ACKNOWLEDGE THAT I AM AWARE OF THE RISKS AND HAZARDS INHERENT UPON ENGAGING IN THIS ACTIVITY AND DO SO ENTIRELY UPON MY OWN INITIATIVE, RISK, AND RESPONSIBILITY. I FURTHER UNDERSTAND THAT THE CLUB DEPENDS ON ITS MEMBERS TO HELP IT PROVIDE AND LEAD CLUB ACTIVITIES AND THAT THOSE MEMBERS ARE RELYING ON THE PROTECTION AFFORDED HEREUNDER. I hereby further agree to participate in a manner that is safe to me and those around me, to observe all applicable safety regulations, and to conduct myself in a manner that will be complimentary to this activity. I FURTHER ACKNOWLEDGE THAT I HAVE READ THE FORGOING RELEASE AND WAIVER, UNDERSTAND IT, INCLUDING THAT IT IS INTENDED TO COVER OCCURENCES WHICH MAY NOT YET HAVE OCCURRED, AND WHICH ARE UNKNOWN TO ME, AND NOTWITHSTANDING THE FOREGOING I SIGN IT VOLUNTARILY WITH THE FULL INTENT THAT IT IS FOREVER ENFORCEABLE.
RIDERS MUST WEAR HELMETS ON EVERY RIDE.
Print Guest Name
Home Phone (H)
Cell Phone (C)
|(ICE) Phone Number|
Ride Leader: Mail Completed Sign-In Sheet within 30 days of the event to:
The EBC Mileage Coordinator,
John Riordan, 323 S. Oakland Ave., Villa Park, IL 60181
Or scan and email it to email@example.com
Note: Only one (1) event per Sign-In Sheet.