K.R.T / Q.R.T INFO, RELEASE & WAIVER

Team Release & Waiver

First Name

Last Name

Date of Birth

Initials

I declare that the info I’ve provided is accurate & complete

I acknowledge that group bicycling carries with it the inherent risk of serious injury, death and property loss from causes which include, but are not limited to, terrain, public infrastructure, temperature, weather, the varying physical condition, abilities, and skills of participants, equipment, vehicular traffic, actions of other people including, but not limited to, other cyclists, motor vehicle operators, and pedestrians, and lack of hydration. I hereby assume all of the risks of participating in bicycle rides and related events sponsored or made available by K.R.T. (Kings Rule Together) without regard to and notwithstanding any negligence or other fault that may occur on the part of K.R.T. Kings Rule Together, it’s officers, directors, agents, representatives, members, volunteers, and sponsors. I certify that I am physically and medically capable of bicycling. I certify that I have the skill and ability to safely control and operate my bicycle on public roadways with vehicular traffic and in the presence of other bicycles. I assume full responsibility for my safety while participating in bicycling and related events sponsored by K.R.T. (Kings Rule Together), including, but not limited to, my medical and health status, wearing an approved bicycle helmet at all times, the mechanical and operational fitness of my bicycle, following all provisions of Pennsylvania and other State Motor Vehicle Codes applicable to bicycle operators and motor vehicles, and maintaining awareness of and responding safely to expected and unexpected vehiclear traffic, road conditions and the presence of other bicycles on the road. In consideration of my membership with K.R.T. (Kings Rule Together) and permitting me to participate in group bicycle rides and events, I hereby (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury and property damage that may hereafter occur to me while participating in bicycle rides and related events, ALL of the following entities: K.R.T. (Kings Rule Together); it’s officers, directors, agents, representatives, members, volunteers, sponsors and assigns: (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during a bicycle ride or related event. This Waiver and Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Intending to be legally bound, I have carefully read this Waiver, I represent that I am at least eighteen years old, I fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducements or assurance of any nature and intend it to be a complete and unconditional release of all liability relating to Bicycling or other Activity or Infectious Disease Risk to the greatest extent allowed by law, and agree that if any portion of this Release is held to be invalid, the balance of it, not with standing, shall continue in full force and effect.

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