RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY
In consideration of being permitted to participate in any way in the Bob LeBow Bike Tour and activities, I for myself, my personal representatives, assigns, heirs, and next of kin:

1: Acknowledge, agree and represent that I understand the nature of this event and that I am qualified in good health, and in proper physical condition to participate in such event. I further acknowledge that the event will be conducted over public roads and facilities open to the public during the event 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 event. I further understand that serious accidents occasionally occur during bicycle riding and the participants in bicycle riding occasionally sustain mortal or serious physical injury and/or property damage, as a consequence thereof. Knowing the risk of bicycle riding, nevertheless, I hereby agree to assume these risks and to release and to hold harmless Terry Reilly Health Services, its officers, employees, agents, partnering agencies, event sponsors, and all persons or entities associated with Terry Reilly Health Services who (through alleged negligence or carelessness), might otherwise be liable to me (or my heirs or assigns) for damages. It is further understood and agreed that this waiver, release, and assumption of risk, is to be binding on my heirs and assigns.

2: Further, I hereby agree to abide by the rules and regulations governing this event and elect to participate at my own risk and in consideration for being allowed to participate do hereby release and discharge Terry Reilly Health Services, its officers, employees, agents, partnering agencies, event sponsors, and all persons or organizations connected with the event from any and all liability (including death) that may be received by me and from all claims and demands to my personal property growing out of or resulting from my participation in the event.

3: Acknowledge that all riders must at all times wear a buckled ANSI/SNELL approved helmet during participation in the event.

4: Acknowledge that all participants age 14 and under must ride with an adult unless they are a member of the Byrds.

5: I also understand that the entry fee paid by me is non-refundable.


I HAVE CAREFULLY READ AND UNDERSTAND THIS WAIVER
All riders being registered must sign this release. Signature of parent or guardian is required if applicant/rider is under 18 years of age.

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Participant Signature

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Guardian Signature for Riders Under 18