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M.I.
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USA Cycling or USA Triathlon, or both
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Club member: Non-competitive Race team member - competitive
WAIVER

ACKNOWLEDGMENT OF RISK, RELEASE OF LIABILITY, INDEMNIFICATION AGREEMENT AND COVENANT NOT TO SUE

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I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, I AM ASSUMING RISKS, AND AGREEING TO INDEMNIFY, NOT TO SUE AND RELEASE FROM LIABILITY ELKHORN VALLEY CYCLING, INC. (EVCC) AND ITS RESPECTIVE AGENTS, EMPLOYEES, VOLUNTEERS, MEMBERS, SPONSORS, PROMOTERS AND AFFILIATES (COLLECTIVELY “RELEASEES”), AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS DOCUMENT IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES. I HAVE READ IT CAREFULLY BEFORE SIGNING, AND I UNDERSTAND WHAT IT MEANS AND WHAT I AM AGREEING TO BY SIGNING.

In consideration of the issuance of a membership to me by one or more of Releasees and being allowed to participate in an event promoted or endorsed by Elkhorn Valley Cycling (collectively “Elkhorn Valley Cycling event”) I hereby freely agree to and make the following contractual representations and agreements. I ACKNOWLEDGE THAT CYCLING IS AN INHERENTLY DANGEROUS SPORT AND FULLY REALIZE THE DANGERS OF PARTICIPATING IN AN EVENT, whether as a rider, official, coach, mechanic, volunteer, or otherwise, and FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING, by way of example, and not limitation: dangers associated with manmade and natural jumps, the dangers of collision with pedestrians, vehicles, other riders, and fixed or moving objects; the dangers arising from surface hazards, including pot holes, equipment failure, inadequate safety equipment, use of equipment or materials provided by the event organizer and others, THE RELEASEES’ OWN NEGLIGENCE, the negligence of others and weather conditions; and the possibility of serious physical and/or mental trauma or injury, or death associated with events. For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest (collectively “Successors”) I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO SUE the Releasees and all sponsors , organizers, promoting organizations, property owners, law enforcement agencies, public entities, special districts and properties that are in any manner connected with an Elkhorn Valley Cycling event, and their respective agents, officials, and employees through or by which the event will be held, (the foregoing are also collectively deemed to be Releasees), FROM ANY AND ALL RIGHTS AND CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASEES’ OWN NEGLIGENCE TO THE MAXIMUM EXTENT PERMITTED BY LAW, which I have or which may hereafter accrue to me, and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with an Elkhorn Valley Cycling event, or travel to or return from an Elkhorn Valley Cycling event, in which I may participate as a rider, team member, spectator, coach, mechanic, official, volunteer, or in any other manner. I agree it is my sole responsibility to be familiar with the course and agenda of an Elkhorn Valley Cycling event, the Releasees’ rules, and any special regulations for an Elkhorn Valley Cycling event and agree to comply with all such rules and regulations, including, that I must submit to drug testing, if required. I understand and agree that situations may arise during an Elkhorn Valley Cycling event which may be beyond the control of Releasees, and I must continually ride and otherwise participate so as to neither endanger myself nor others. I accept responsibility for the condition and adequacy of my equipment, any equipment provided for my use, and my conduct in connection with an Elkhorn Valley Cycling event. I have no physical or medical condition which would endanger myself or others if I participate in an Elkhorn Valley Cycling event, or would interfere with my ability to safely participate in an Elkhorn Valley Cycling event.

I agree, for myself and my Successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my Successors assert a claim contrary to what I have agreed to in this contract, the claiming party shall be liable for all expenses (including legal fees) incurred by Releasees in defending the claims. This contract may not be modified orally, and a waiver or modification of any provision shall not be construed as a waiver or modification of any other provision herein or as consent to any other waiver or modification. Every term and provision of this contract is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable.

MEDIA GRANT

In consideration of and as a condition of Elkhorn Valley Cycling’s issuance of a membership to me or acceptance of my applications for entry in events that it permits or sanctions, I grant to Elkhorn Valley Cycling, and their assigns, the right and a license to film, video, photograph, reproduce, publish, distribute and otherwise use and exploit by all means, in any medium and worldwide, my name and voice, pictures and likenesses of me, and biographical material on me. Under no circumstances shall such material be used in the manner of an endorsement of any product or service, or of any sport other than bicycle racing, without my consent. This Grant shall be binding upon me and my heirs and legal representatives.

CONSENT AND RELEASE OF PARENT OR GUARDIAN

I am the parent or guardian of _____CHILD LISTED BELOW_________________ (child). My Child is fit to participate in cycling events, and I consent to my Child’s participation. I HAVE READ AND I UNDERSTAND THE ABOVE CONTRACT. In consideration of allowing my Child to participate, I consent the contract and agree that ITS TERMS SHALL LIKEWISE BIND ME, MY CHILD, my heirs, legal representatives, and assignees. I HEAREBY RELEASE AND SHALL DEFEND, IDEMNIFY, AND HOLD HARMLESS THE RELEASEES FROM EVERY CLAIM AND ANY LIABILITY that I or my Child may allege against the Releasees (including reasonable legal fees and costs) as a direct or indirect result of injury or death to me or my Child because of my Child’s participation in the event, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or other. I PROMISE NOT TO SUE RELEASEES on my behalf or on the behalf of my Child regarding any claim arising from my Child’s participation in the event.

PAYMENT

(PayPal is preferred, and no PayPal account is required to make an electronic payment)
Choosing PayPal as method of payment will direct you to PayPal. Once that transaction is complete click "return to team@nencycling.org" to return to this site and print your membership card.

If "Check" is chosen as payment type, your membership will not be official until payment is received and cleared. At that time you will be provided a link via email to download your membership card.

Checks must be mailed to:

EVCC
2606 W. Prospect Ave
Norfolk NE 68701

If "Racer Bucks" is chosen as payment type, your membership will not be official until payment is received and cleared. At that time you will be provided a link via email to download your membership card.

Checks must be mailed to:

EVCC
2606 W. Prospect Ave
Norfolk NE 68701