2018 Robidoux Quick & Dirty, May 19, 2018
Accident Waiver, Release of Liability, and Consent Form
I acknowledge that this athletic event is a potentially dangerous and challenging activity. This event carries with it certain inherent risks common to the sport of bicycle racing. I acknowledge that by taking part in the sport I assume the inherent risks associated with the activity, whether those risks are known or unknown and that I assume legal responsibility for any and all episodes of damage, injury, or death to myself. As a participant of this recreational opportunity, your agreement acknowledges that the Robidoux Quick and Dirty is not required to eliminate, alter, or control the inherent risks associated with the race.
I also acknowledged my intent to hold harmless all entities associated with this event, including the organizers of the event, volunteers, Scotts Bluff County, the City of Gering, Nebraska, and redpodium.com. I promise not to sue anyone associated with this event regarding any claim arising from my participation. I hereby assume all risks of the participating, traveling to and from this event, and/or volunteering in this event.
I have been advised to read this accident waiver, release of liability, and consent form carefully before signing.
I certify that I am physically fit, have sufficiently trained for participation in this event, and have not been advised otherwise by qualified medical personnel.
I agree to:
1. Consent to receive medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during this event.
2. I understand that at this event I may be photographed. I agree to allow my photo or video likeness to be used for legitimate purposes by the event holders, producers, sponsors, organizers or its assigned agents.
The Robidoux Quick & Dirty Accident Waiver, Release of Liability, and Consent Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document, I understand its contents, and agree to this waiver-consent form of my own free will.
Consent and Release of Parent or Guardian for Minors (under 19 years of age-Nebraska)
The undersigned parent and/or natural guardian or legal guardian does hereby represent that he/she is signing on behalf of the minor participant. I have read and understood the above Robidoux Quick & Dirty Accident Waiver, Release of Liability, and Consent Form and in consideration of allowing my child to participate, I agree that it’s terms shall likewise bind me, my child, my heirs, legal representatives, and assignees. I promise not to sue anyone associated with this event on behalf or on behalf of my child regarding any claim arising from a child’s participation in this event