Release and Waiver of Liability, Assumption of Risk, Indemnity, and Parental Consent Agreement
For League of American Wheelman DBA League of American Bicyclists (LAB)
(This form is to be used only for individual adults or for adults on behalf of minors.)
In consideration of being permitted to participate in any way in Kings County Velo Club (club)-sponsored bicycling activities (activity) I,
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, in good health, and
in proper physical condition to participate in such activity. I further acknowledge that the activity will be conducted over public roads
and facilities open to the public during the activity, and upon which the hazards of traveling are to be expected. I further agree and
warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.
2. Fully understand that (a) bicycling activities involve 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 “releasees” named below; (c)
there may be other risks and social and 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 may incur as a result of participation in the activity.
3. Hereby release, discharge, and covenant not to sue the Club, the LAB, its respective administrators, directors, agents, officers,
members, volunteers, and employees, other participants, any sponsors, advertisers, and (if applicable) owners and lessors of premises on
which the activity takes place (each considered one of the “releasees” herein) from all liability, claims, demands, losses, or damages on my
account caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise, including negligent rescue
operations. And, I further agree that if, despite this Release and Waiver of Liability, Assumption of Risk, and Indemnity
Agreement, I or anyone on my behalf makes a claim against any of the releasees, I will indemnify, save, and hold harmless each of the
releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim. I am 18
years of age or older, have read and understand the terms of this agreement, understand that I am giving up substantial rights by signing
this agreement, have signed it voluntarily 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. I agree that if any portion of this agreement is held to be
invalid, the balance, notwithstanding, shall continue in full force and effect.