Guests:Please Read the Following and Sign and Print Your Name and Telephone Number Below.

THE FOLLOWING IS A RELEASE AND WAIVES YOUR RIGHTS IN THE EVENT OF YOUR INJURY AND/OR DEATH.

By participating on this Elmhurst Bicycle Club Ride, including, if applicable, transportation to and from same, I do hearby for myself, my heirs, executors, and administrators, RELEASE, WAIVE, & FOREVER DISCHARGE, the Elmhurst Bicycle Club, it's 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 whatever, including negligence, on the part of anyone released hereunder, during my participation in or transportation to or from this ride.I ACKNOWLEDGE THAT I AM AWARE OF THE RISKS AND HAZARDS INHERENT UPON ENGAGING IN THIS ACTIVITY AND DO SO ENTIRELY UPON MY OWN INITIATIVE, RISK, AND RESPONSIBILITY. I FURTHER UNDERSTAND THAT THE CLUB DEPENDS ON ITS MEMBERS TO HELP IT PROVIDE AND LEAD CLUB ACTIVITIES AND THAT THOSE MEMBERS ARE RELYING 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.I FURTHER ACKNOWLEDGE THAT I HAVE READ THE FORGOING RELEASE AND WAIVER, UNDERSTAND IT, INCLUDING THAT IT IS INTENDED TO COVER OCCURENCES 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 IS FOREVER ENFORCEABLE.

Guests:Please Sign & Print Your Name and Telephone Number
If You Would Like To Receive Club Membership Information, Include Your Address.

Ride Leader: Mail Completed Ride Sheet To The EBC Database Manager Mary Moroney, 1S380 Pine View, Lombard, IL 60148

APPROVED SNELL or ANSI HELMET IS RECOMMENDED ON ALL RIDES

USE OF HEADPHONES ARE PROHIBITED BY THE ILLINOIS VEHICLE CODE, AND ARE NOT ALLOWED ON EBC RIDES