- In consideration of being permitted to participate in any way in the
SANTA CRUZ RANDONNEURS, INC Activities:
I, for myself, my representatives,
assigns, successors, and heirs represent and agree as follows:
I acknowledge that this athletic event or Activity is an extreme test of a
person's physical and mental limits and 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, weather,
condition of athletes, equipment, vehicular traffic, actions of other people
including, but not limited to, participants, 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 athletics, but are also
present for volunteers. I hereby assume all of the risks of participating
and/or volunteering in this event. I realize 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.
I certify that I am physically fit, have sufficiently trained for participation
in the event and have not been advised otherwise by a qualified medical person.
I further acknowledge that the Activity will be conducted over public roads and
facilities open to the public during the Activity and upon which the hazards
of traveling are to be expected. If at any time I believe conditions to be unsafe
I will immediately discontinue further participation in the activity.
I acknowledge that this Accident Waiver and Release of Liability (AWRL) form
will be used by the event holders, sponsors and organizers, in which I may
participate and that it will govern my actions and responsibilities at said
In consideration of my application and permitting me to participate in this event,
I hereby take action for myself, my executors, administrators, heirs, next
of kin, successors, and assigns as follows: (A) Waive, Release and Discharge
from any and all liability for my death, disability, personal injury, property
damage, property theft or actions of any kind which may hereafter accrue to
me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS:
LOIS SPRINGSTEEN, WILLIAM BRYANT, SANTA CRUZ RANDONNEURS, RANDONNEURS USA,
CLUB PARISIEN, and RANDONNEURS MONDIAUX their directors, officers, employees,
volunteers, representatives, and agents, the event holders, event sponsors,
event directors, event volunteers; (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 entitles as a result of any of my actions during
I hereby consent to receive medical treatment that may be deemed advisable in
the event of injury, accident and or illness during this event.
I understand that at this event or related activities, I may be photographed.
I agree to allow my photo, video or film likeness to be used for any legitimate
purpose by the event holders, producers, sponsors, organizers and or assigns.
This AWRL 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; and, I understand its content.
I understand that I have given up substantial rights by signing this AWRL and
have signed it freely and without any inducement or assurance of any nature.
Submit your info electronically by clicking here.
Remember that you must both submit your application data (this form) and payment to get a reserved rider spot.