NATIONAL CAPITAL BICYCLE TOURS REGISTRATION & RELEASE AGREEMENT

Submit a separate form for each rider. This form may be duplicated. A separate Release Agreement (below) must be signed and returned for each adult rider. For riders under age 18, the Parental Consent Agreement (below) must be completed instead. The National Capital Bicycle Tour takes place October 4, 1998 rain or shine. All tour fees are non-refundable.



____________________________________________________________________________
Last Name (print or type)


____________________________________________________________________________
First Name


____________________________________________________________________________
Address


____________________________________________________________________________
City                                State                      Zip


____________________________________________________________________________
Home Phone                          Work Phone

Please circle your intended tour. (You can change your mind on the day of the ride.)


Contact in case of emergency:

____________________________________________________________________________
Name                               Phone


Will this person be with you on the ride?___________________________________

Registrations postmarked or faxed no later than September 14 will receive a free T-shirt (to be distributed at the ride).

T-Shirt Adult Sizes: ( ) S      ( ) M      ( ) L      ( ) XL


Fees:
    Current WABA Member ........................................$20
    Team Participant ...........................................$20

      Name of Team: ___________________________________________

    Non-WABA Member ............................................$25
    Tour with Special WABA Membership ..........................$40
    Student (no T-shirt) .......................................$15
    Children Aged 6-12 (no T-shirt,
    must ride with an adult) ...................................$10
    T-Shirt (if registering after Sept. 14) ....................$10


                                                    Total: ________


Method of Payment: ( ) Visa or MasterCard    ( ) Check

Fax credit card registrations to WABA at 202-628-4141.


____________________________________________________________________________
Card Number                                                    Exp. Date

____________________________________________________________________________
Signature

____________________________________________________________________________
Print Name


Make checks payable to and mail to:		   Phone:   202-628-2500
Washington Area Bicyclist Association		   FAX:     202-628-4141
733 15th Street, NW, #1030		           E-mail:  waba@waba.org
Washington, DC  20005				   Website: www.waba.org

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")

IN CONSIDERATION of being permitted to participate in any way in the Washington Area Bicyclist Association ("Club") sponsored National Capital Bicycle Tour ("Activity") I, for myself, my personal representatives, assigns, heirs, and next of kin:

  1. ACKNOWLEDGE, agree, and represent that I understand the nature of Bicycling Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. 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 travelling are to be expected. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

  2. FULLY UNDERSTAND that: (a) BICYCLING ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily forseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

  3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, their respecitve administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.




PRINTED NAME OF PARTICIPANT:____________________________________________________


ADDRESS:________________________________________________________________________
                (Street)                  (City)           (State)     (Zip)

PHONE:_____________________________


PARTICIPANT'S SIGNATURE:________________________________________________________
(only if age 18 or over)


DATE:____________________________

MINOR RELEASE

AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE OR COST ANY MAY INCUR AS THE RESULT OF SUCH CLAIM.




PRINTED NAME OF PARENT/GUARDIAN:________________________________________________


ADDRESS:________________________________________________________________________
                (Street)                  (City)           (State)     (Zip)

PHONE:_____________________________


PARENT/GUARDIAN SIGNATURE:______________________________________________________
(only if participant is
 under the age of 18)


DATE:____________________________

THE NATIONAL CAPITAL BICYCLE TOUR REQUIRES ALL RIDERS TO WEAR HELMETS!