Shelley Glover Sports Education Foundation Century Ride
Accident Waiver and Release of Liability
You must agree to the terms of this release form to
participate in this event.
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I acknowledge that this athletic event is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, event monitors, promoters of the event, and improper hydration, nutrition, training and preparation. These risks are not only inherent to athletes, but are also present for volunteers. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: A) I fully release and discharge from any and all liability the Shelley Glover Sports Education Association, its officers, directors, employees, members, volunteers, representatives, agents, event holders, event sponsors, event directors, event volunteers, and event officials from any and all liability for any act of negligence or otherwise that might result in my death, disability, personal injury, property damage, loss of property, or any other action of any kind which may hereafter accrue to me. I freely waive any and all rights to file a claim or commence litigation against any of the entities mentioned above with respect to any claim of negligence I may have that is in any way related to my participation in this event. B) I agree to indemnify and hold harmless the entities or persons mentioned in Section A above from any and all claims made by any other individual or entity relative to my participation in this event, or any injuries, losses or damages that result from it. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during this event. I am aware that this event is not an event permitted by United States Ski Association and that USSA insurance does not apply. I understand that at this event or related activities I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, promoters, sponsors, organizers and/or assigns. I hereby assume all of the risks of participating and/or volunteering in this event. I realize that there may be acts or omissions, negligence or carelessness on the part of the persons or entities being released. I realize that there may be dangerous or defective equipment or property owned, maintained or controlled by them. I certify that I am physically fit, have sufficiently trained for participation in this event and have not been advised otherwise by a qualified medical person. I acknowledge that this SGSEF Accident Waiver and Release of Liability form will be used by all entities involved in this event and that it will govern my actions and responsibilities at this event. This Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have had a reasonable opportunity to read this document, that I have read this document, and that I understand its contents. ________________________ ________________________
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