I voluntarily request permission to participate in the 2016 MARC Mon Valley
Century Bicycle Tour, I UNDERSTAND THE HAZARDOUS NATURE OF THE ACTIVITY
AND ACCEPT FULL RESPONSIBILITY FOR MY PARTICIPATION AND RISKS INVOLVED.
Including by way of example and not limitations, dangers of collision with
pedestrians, vehicles, other bicycle riders and fixed or moving inadequate
safety equipment, the released party negligence, weather condition and
the possibility of serious physical and/or mental trauma or injury.
I have no physcial or mental condition, to my knowledge. Which would endanger
others or myself or would interfere with my participation. I have inspected
all my personal equipment to be sure it is in good and safe condition.
I agree to abide by all applicable laws and regulations and to act in a
safe and courteous manner. I acknowledge that it is suggested that I wear
an ANSI or Snell approved helmet at all times while bicycling the MARC
Mon Valley Century Bicycle Tour. In consideration of permission to participate
in the MARCMVCBT for myself, my heirs, executors, administrators, legal
and personal representatives, successors and assigns. I DO HEREBY DISCHARGE,
RELEASE, HOLD HARMLESS, PROMISE NOT TO SUE AND INDEMNIFY MARC, its officers,
volunteers, and any other organizations including sponsors associations,
municipalities, or individuals connected with MARC from any and all claims,
demands, rights, actions, or causes of action of whatsoever kind and nature,
arising from and by reason of any and all known and unknown, foreseen and
unforessen bodily and personal injuries, damage to property and all consequences
thereof which may hereafter be sustained by my participation in the MARCMVCBT.
In addition, I hereby consent to emergency treatment in the event of injury
or illness.
I herby grant full permission to MARC and/or its agents to use photographs,
videos, and other records of this event, including my name, likeness and/or
voice for any legitimate purpose.