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print
this form, read and sign the application and LAB
insurance waiver, and mail with check to:
The
Procrastinating Pedalers of Reno
P O Box 9897
Reno, NV 89507
Name:____________________________________________
Address:__________________________________________
_________________________________________________
_________________________________________________
Home
Phone:_______________
Work Phone:________________
Membership Type:
Single ___$20 Joint
___$25
I, the undersigned, understand that the
PROCRASTINATING PEDALERS OF RENO is a
non-profit, recreational cycling club formed
with the express purpose of promoting the sport
of bicycling, and providing camaraderie and
fellowship amongst its members. Membership in PP
is in no way implies liability on the part of
the club. I also understand that I must be at
least eighteen (18) years of age to join. (Other
household cyclists may, however, be of a younger
age.) Furthermore I am aware that PP has a
mandatory helmet rule. As a member of PP, I will
wear my helmet on all PP club rides. If I forget
my helmet I realize that I will not be able to
ride with the club that day.
Signed:
___________________________________Date:________________
Signed:
___________________________________Date:________________
LEAGUE OF AMERICAN WHEELMEN
d/b/a LEAGUE OF AMERICAN BICYCLISTS
("LAB")
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION
OF RISK, AND INDEMNITY AND PARENTAL CONSENT
AGREEMENT
("AGREEMENT")
IN
CONSIDERATION of being permitted to participate
in any way in the Procrastinating Pedalers
Bicycle Club (LAB 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 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
condition 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
incur as a result of my participation or that of
the minor in the Activity.
3.
HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO
SUE the Club, the LAB, their 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 Releases, I
WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF
THE RELEASEES from any litigation expenses,
attorney fees, loss, liability, damage, or cost
which any may incur as the result for such
claim.
I
HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED
IT FREELY 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
AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT
IS HELD TO BE INVALID THE BALANCE,
NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE
AND EFFECT.
PRINTED
NAME OF PARTICIPANT
:_________________________________________________________
ADDRESS:
_____________________________________________________________________________
(Street) (City) (State) (Zip)
PHONE:
__________________________
PARTICIPANT'S
SIGNATURE (only if age 18 or over):
_____________________DATE: __________________
AND
I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN,
UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES
AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND
BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD
HEALTH, AND IN PROPER PHYSICAL CONDITION TO
PARTICIPATE IN SUCH ACTIVITY, I HEREBY RELEASE,
DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO
INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE
RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS,
LOSSES OR DAMAGES ON THE MINOR'S 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 FURTHER AGREE THAT IF, DISPITE THIS RELEASE,
I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF
MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED
ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS
EACH OF THE RELEASEES FROM ANY LITIGATION
EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE,
OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH
CLAIM.
PRINTED
NAME OF PARENT/GUARDIAN:
_____________________________________________________
ADDRESS:
_____________________________________________________________________________
(Street) (City) (State) (Zip)
PHONE:
__________________________
PARENT/GUARDIAN
SIGNATURE (only if participant is under the age
of 18): ___________________________
DATE:
_____________________
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The club produces a monthly
newsletter. How would you like to receive it?
Via Email Check here if you desire this method_____
E-mail address: _____________________________________
Or
First Class mail Check here if you desire this method_____
The newsletter costs the club $2.00 per month per member to be
mailed by first class mail. If you select receiving if via email it
is necessary for you to join the RenoPedalers Yahoo Group. Members
can only join the group by invitation and it is non-commercial. An
invitation will be emailed and the member must complete the
application to join the group. Along with the newsletter other
timely cycling information is communicated to members who join this
group.
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