Waiver and Release of Liability

This form will be available the day of the Tour.  Please review and be prepared to sign this form during the registration process on the morning of the Tour.  Thank You.

Tour de Champlain Waiver and Release of Liability

I wish to participate in the Tour de Champlain bike ride (“The Tour”). I understand that my execution of this Waiver and Release is a prerequisite for participation in the Tour. I further understand that there are risks and dangers inherent in participating in the Tour. I understand that in order to be allowed to participate in the Tour, I agree to assume all risks and to release and hold harmless the Tour de Champlain, and their board members, officers, agents, employees, assigns, successors in interest, contractors, vendors (and their agents), agencies, sponsors, officials and volunteers, including team captains, participating communities and clubs and all governmental and public entities including, but not limited to, the State, County and local municipalities where the events take place (collectively the “Released Parties”).

I intend by this Waiver and Release to release, in advance, and to waive my rights and discharge all of the persons and entities mentioned above, from any and all claims for damages for death, personal injury or property damage which I may have, or which may hereafter accrue to me as a result of my participation in the Tour, even though this liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective property or equipment owned, maintained or controlled by them or because of their possible liability without fault. I understand and agree that this Waiver and Release is binding on my heirs, assigns, and legal representatives.

I understand that I am solely responsible for my health and safety, and I acknowledge that I am physically capable of participating in and completing the Tour. I agree to abide by any decision of an event official relative to my ability to complete this event safely and I further agree that event officials or volunteers may authorize necessary emergency treatment for me.

I agree to allow the Tour de Champlain, and their contractors, agencies and sponsors, the use of my name and likeness in connection with this event, for any purpose related to advertising or promotion of the event worldwide in perpetuity in all forms of media now and forever known.

I have carefully read this Waiver and Release and fully understand its contents. If I am under 18 years of age at the time of registration, my parent or legal guardian has completely reviewed this Waiver and Release, understands and consents to its terms, and authorizes my participation by his/her acceptance below. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above and I accept of my own free will.

Signed___________________________________________________

Date___________________