REQUIRED WAIVER: To qualify for member excess medical insurance, Members must have signed this waiver. Individual Central Indiana Cycling rides and events may require a separate RSVP and / or waiver form, but this overall waiver covers most of the club's activities. When you sign this waiver, you are signing it for your household and minor dependents that may participate in Central Indiana Cycling rides and events.
NOTE: There are rides and events that may end up on the organization's calendar that are not organized or led by Central Indiana Cycling. Those non-Central Indiana Cycling events do not include club insurance coverage and those ride leaders or organizations are not included in this waiver.
**** CONSENT AND LIABILITY RELEASE ****
In consideration of CENTRAL INDIANA CYCLING (CINC) permitting me, household members, or my minor child to participate in CINC events or activities, I, the signatory on this form, for myself and my heirs, next of kin, assigns, and personal representatives, do hereby agree to the following:
1. I understand that bicycling requires physical conditioning, and I represent that I am in sound medical condition, capable of participating in CINC events, rides, and activities without risk to myself or others. I have no known medical impediment which would endanger myself or others. I agree that I will be solely responsible for the condition and adequacy of my bicycle, safety gear, and riding equipment. I will ride safely within the limits of my own abilities, my equipment, and the riding conditions, and in a manner so as not to endanger either myself or others.
2. I understand that my photograph, voice and/or likeness may be used in promotional or advertising materials. I consent to such uses and waive any rights of privacy or publicity I may have in connection with those uses.
3. I understand that bicycle riding is a potentially hazardous activity which involves risks, inherent and otherwise, known or unknown, that cannot be eliminated which may cause injury, illness, paralysis, or death to myself, other persons, and/or damage to property. I further understand that negligence of CINC, including its officers, members, volunteers, and sponsors, or other risks associated with CINC events or activities may cause injury, illness, paralysis, or death to myself, other persons, and/or damage to property. Some of the risks associated with CINC events, rides, and activities include, but are not limited to, equipment failure, collisions with other riders, terrain, objects, or vehicles, and known or unknown medical conditions. I assume full and sole responsibility for all risks, both known and unknown, inherent or otherwise, related to the CINC events, rides, and activities. Further, I am voluntarily participating in this activity with knowledge of the risks and fully accept and assume all risks related to or arising from CINC events, rides, and activities.
4. Acknowledging that such risk exists, I PERSONALLY AND ON BEHALF OF MY HOUSEHOLD AND MINOR CHILDREN, HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE CINC, ITS OFFICERS, OFFICIALS, MEMBERS, VOLUNTEERS, AND SPONSORS, and the officers, directors, employees, representatives, agents, insurers, and successors of all the above (hereinafter individually and collectively referred to as the “Releasees”) from any and all claims, damages, losses, actions, suits, proceedings, breach of contract actions, wrongful death actions, expenses, attorney fees, and liability that I, anyone on my behalf, my heirs, next of kin, or minor child might have for, or relating to, any injury, including death, to my person or that of my minor child or property suffered or claimed to have been suffered by me which arises out of or is related in any manner, either directly or indirectly, to my participation or my minor child’s participation in any CINC event, ride, or activity or my assistance at any CINC event, ride, or activity, including but not limited to, any claim that the act or omission complained of was caused in whole or in part by the negligence in any form of the Releasees.
5. I further agree to INDEMNIFY, HOLD HARMLESS, AND DEFEND in any action or proceeding Releasees against all lawsuits, losses, damages, actions, suits, proceedings, and expenses, including attorney’s fees and costs arising from or relating in any respect to my, a household member, or my minor child’s, participation in any CINC event, ride, or activity, or my breach of this agreement, regardless of whether the act or omission complained of was caused in whole or in part by the negligence in any form of the Releasees. CINC Staff and Volunteers have no duty to indemnify, defend, or hold harmless the Releasees.
6. This document is governed by the laws of the State of Indiana. If one or more portions of this document are found unenforceable, the remainder of the document will remain enforceable. If I am a minor, my parent or guardian is also signing individually and, on my behalf, and we both agree to be bound by the terms of this agreement.
I have read and fully understand this Waiver and Release of Liability and Indemnity Agreement and agree to be bound by its terms. I understand that by signing this document I may be waiving certain legal rights, including the right to sue CINC or any of the Releasees. I have read this document and sign this document freely and willingly.