ELMHURST BICYCLE CLUB MEMBERSHIP FORM
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ELMHURST BICYCLE CLUB, P.O. BOX 902, ELMHURST, IL 60126 The Following Is A Release And Waives Your Rights In the Event of Injury
and/or Death.
In consideration of being permitted to be a member of Elmhurst Bicycle
Club and to participate In club rides and/or events, including
transportation to and from same, I do hereby for myself, my heirs,
executors and administrator release, waive and
forever discharge Elmhurst Bicycle Club, its officers and members
from any and all claims, demands, actions or
liabilities on account of any injury to me which may occur from any
cause whatsoever, including negligence or other fault on
the part of anyone released hereunder, during my participation in or
transportation to or from said rides and/or events. I
ACKNOWLEDGE I AM AWARE OF THE RISKS AND HAZARDS INHERENT UPON
ENGAGING IN SAID CLUB ACTIVITIES, AND I DO SO ENTIRELY UPON MY OWN INITIATIVE, RISK AND RESPONSIBILITY.
I FURTHER UNDERSTAND THE CLUB DEPENDS ON ITS MEMBERS TO PROVIDE AND LEAD CLUB ACTIVITIES AND THAT
THOSE MEMBERS RELY ON THE PROTECTION AFFORDED HEREUNDER. I hereby further agree to operate my
bicycle in a manner that is safe to me and
those around me, to observe all applicable safety regulations and to
conduct myself in a manner that will be complimentary to the sport of bicycling. It is my intent that this
release and waiver apply at all times, notwithstanding that my membership in the Elmhurst Bicycle Club may have expired, elapsed, been renewed or reinstated after a period of non-membership. I FURTHER ACKNOWLEDGE THAT I HAVE READ THE FOREGOING RELEASE AND WAIVER AND UNDERSTAND IT, INCLUDING THAT IT IS INTENDED TO COVER OCCURRENCES WHICH MAY NOT YET HAVE OCCURRED AND WHICH ARE UNKNOWN TO ME, AND NOTWITHSTANDING THE FOREGOING, I SIGN IT
VOLUNTARILY WITH THE FULL INTENT THAT IT BE FOREVER ENFORCEABLE.
Signature(s) of all adult members
Date_________Signature_______________________________________________
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