PARTICIPANTS and/or PARENTS READ BEFORE CHECKING BOX
For youth 17 and younger parental signatures are required. Paper forms will be given to be read and signed.
IN CONSIDERATION OF, my child/ward/me, being allowed to participate in any way in Triangle Bikeworks' (TBW) related programs, events and activities the undersigned acknowledges, appreciates, and agrees that:
Risk of Bicycling: As with any sport, I fully realize and respect the dangers of riding a bicycle on open public roads, trails and parks and fully assume the risks associated with this activity for me and/or my child including by way of example but not limitation, the dangers of collision with pedestrians, vehicles, other cyclists, and fixed or moving objects; the dangers arising from surface hazards, potholes, broken roads, rocks, roots, equipment failure, inadequate safety equipment, and weather conditions; and the possibility of serious physical and/or mental trauma or injury associated with bicycle-related mishaps. I understand that potentially dangerous situations may arise during the event that are beyond the control of Triangle Bikeworks, Inc. Knowing the risks involved, I nevertheless agree to assume those risks and to release all persons or entities mentioned below for any injury, death, illness or property damages that occur during the participation in the programs and events.
Responsibilities of Bicyclists: I attest that I and/or my child will be riding at our own risk and release the aforementioned entities from liabilities for any injury, death, or damages, which may occur to me or anyone else.
RELEASE: Having read the foregoing material, I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS TBW, its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child's involvement or participation in these programs, WHETHER ARISING FROM
THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Additionally, Triangle Bikeworks, Inc. cannot be held liable for theft or loss of my personal gear including electronic equipment.
UNDERSTANDING OF RISK
I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulations, and accept them as a participant.
I have read this form in its entirety and have provided truthful information. For parent signatures a paper form will be given to be read and signed.
(Signature of parent or legal guardian required for anyone under 18 years of age.)
Liability & Assumption of Risk Agreement
In consideration of being permitted to participate in Triangle Bikeworks' youth cycling opportunities (referred to hereinafter as “Program”) and related events and activities, on behalf of myself, or a minor child or ward, heir, next of kin, personal representative, successor or assign:
I acknowledge, understand, declare and agree that:
To the best of my knowledge, I am in good physical condition and have no disease or injury that would be aggravated by participating in activities related to the Program;
Participating or assisting others in participating in the Program may involve risk of injury to me or other consequences, which might result not only from my own actions, inaction or negligence but also the actions, inaction or negligence of others, or the conditions of the premises or of any equipment used:
I will take part in activities that require walking in the forest, removing invasive species, and working in areas that may contain hazards such as poison ivy, yellow jackets and/or other insects.
I agree that:
I will follow all instructions provided by Triangle Bikeworks' educators in order to ensure my safety.
I consent to all emergency medical treatment as may be deemed appropriate under existing circumstances by medical personnel or personnel associated with the Program.
I have read this form in its entirety and have provided truthful information. For parent signatures a paper form will be given to be read and signed.
(Signature of parent or legal guardian required for anyone under 18 years of age.)
Photography Release
I hereby grant permission to Triangle Bikeworks (the “Organization”) and Abundance NC (the “Partners”) to use my photograph(s) for any purposes relating to the Organization/Partners, including but not limited to, promotional or public relations publications or the Organization's Web site. The Organization/Partners may use the photograph(s) without further permission from me and without any compensation. Additionally, I acknowledge the Organization's right to alter, crop or treat the photograph at its discretion.
I have read this form in its entirety and have provided truthful information. For parent signatures a paper form will be given to be read and signed.
(Signature of parent or legal guardian required for anyone under 18 years of age.)
