|ACCIDENT WAIVER & RELEASE FORM
Waiver of Liability, Assumption of Risk, Indemnity, and Parental Consent Agreement For:
10th Annual Mountains to the Desert Ride
September 21, 2013
PLEASE READ THIS FORM CAREFULLY BEFORE SIGNING.
THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS
I (the Entrant/Volunteer or the parent or guardian of the minor
Entrant/Volunteer) acknowledge that the Mountains to the Desert Ride (the "Event") is an athletic event and is an extreme test of a person's physical and mental limits, which carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, volunteers, spectators, coaches, Event Officials, and Event Monitors, and/or producers of the Event, and lack of hydration. These risks are not only inherent to athletes, but are also present for volunteers of the event.
I certify that I am physically fit and have sufficiently trained for participation in the Event. I certify that if I am aware of, or under treatment for, any physical infirmity, ailment or illness, that my medical care provider has approved of my participation in this Event. I acknowledge that this Accident Waiver and Release Form will be used by the Event Related Parties (Defined Below) and that it will govern my actions, participation, and responsibilities in relation to the Event.
In consideration of my application and permitting me to participate in the Event, for myself, my executors, administrators, heirs, next of kin, successors, and assigns, I hereby agree as follows:
(a) I hereby understand, acknowledge, and assume all of the risks, both known and unknown, of participating and/or volunteering in the Event. I further understand and acknowledge that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them, or because of their possible liability without fault.
(b) I hereby forever and fully waive, release and discharge Mountains to the Desert, Inc. and Just for Kids Foundation, as well as each of their respective officers, Directors, shareholders, members, employees, volunteers, officials, Event participants, sponsors and/or organizers, representatives and/or agents (collectively the "Event Related Parties") from and/or with respect to any and all claims, liabilities, and damages resulting from or in any manner related to my death, disability, personal injury, property damage or loss or actions or claims of any kind related to or in any manner connected with my participation in this Event and/or travel to and from this Event.
(c) I hereby agree and commit to fully forever indemnify, defend and hold harmless, jointly and severally, each and all of the Event Related Parties from and against any and all liabilities, claims and/or costs of any kind whatsoever made or asserted in any manner connected with my participation in this Event and/or in any manner resulting from any actions or matters taken or occurring during or related to this Event.
(d) I certify that if I am aware of, or under treatment for, any physical infirmity, ailment or illness, that my medical care provider has approved of my participation in this Event. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during this Event.
(e) I understand that during the Event or Event-related activities I may be photographed. I agree to allow my photo, video or firm likeness to be used for any legitimate purpose by the Event Related Parties.
This Accident Waiver and Release Form shall be construed broadly in accordance with the laws of the State of Colorado to provide to the Event Related Parties release, waiver, and indemnification to the maximum extent permissible. Any dispute arising from this agreement or participation in the Event shall be resolved solely in the County and District Courts for San Miguel County, Colorado.
I hereby certify that I have read this document, I understand its contents, and I agree to be bound by its terms and conditions.