<Event Name> ACCIDENT WAIVER AND RELEASE OF LIABILITY

ACCIDENT WAIVER AND RELEASE OF LIABILITY

1. I acknowledge that <Event Name> (“Event”) is an extreme

test of a person’s physical and mental limits and carries with it the

potential for death, serious injury, and property loss. I assume

these risks. The risks include, but are not limited to, those caused

by accidents, terrain, facilities, temperature, weather, condition of

athletes, equipment, condition of others’ equipment, vehicular

traffic, illness, actions of other people including, but not limited to,

participants, volunteers, spectators, coaches, Event officials, and

Event monitors, and/or producers of the Event, and lack of

nutrition, hydration, and fitness. These risks are not only inherent

to athletics but are also present for volunteers. I hereby assume

all of the risks of participating and/or volunteering in the Event. I

realize that liability may arise from negligence, recklessness, or

carelessness on the part of the persons or entities being released,

from dangerous or defective equipment or property owned,

maintained or controlled by them or because of their possible

liability without fault.

2. I certify that I am physically fit and health and have sufficiently

trained to be a participant in the Event and have not been advised

otherwise by a qualified medical person.

3. I acknowledge that this Accident Waiver and Release of

Liability (“AWRL”) form will be used by and relied upon by Event

holders, sponsors and organizers, in any and all Events in which I

may participate and that it will govern my actions and

responsibilities at any Events.

4. I understand that I am choosing to participate in the Event and I

have the option to not participate in the Event. In consideration of

my application and permitting me to participate in the Event, and

all activities related to or connected with this Event, including

travel to and from the Event or any series including the Event, I

hereby take choose and action for myself, my executors,

administrators, heirs, next of kin, successors, and assigns as

follows: (A) Waive, Release and Discharge the Eastern Fat Tire

Association (“EFTA”), its directors, officers, employees, volunteers, agents,

attorneys, insurers, affiliates, Event holders, Event promoters,

Event sponsors, Event volunteers, Event permit grantors, Event

property owners, and Event participants (collectively

“Releasees”), from any and all liability for my death, disability,

personal injury, illness, property damage, property theft, lost

income, or any other losses, costs or actions of any kind which

hereafter may accrue to me by virtue of my training for the Event,

my participation in the Event, my travel to or from the Event, or

any other conduct by me related to the Event; (B) Indemnify and

Hold Harmless Releasees from any and all liabilities or claims

made by other individuals or entities as a result of any of my

actions during the Event; (C) Covenant not to sue Releasees and

agree that I will not make any claim against Releasees for injury,

illness, damages, death, or any other loss arising from or related

to my participation in the Event. I understand that if I attempt to

sue Releasees in violation of this agreement, Releasees may

seek to recover all of their costs, including legal fees. I agree to

indemnify, hold harmless, and defend Releasees from and

against any and all actions, causes of action, claims, charges,

demands, losses, damages, costs, attorney’s fees, judgments,

liens, indebtedness and liabilities of every kind and character,

whether known or unknown, including foreseen or unforeseen

bodily injury, illness, and personal injuries and property damage

that may be sustained by me or any other person in any way

connected to, related to, or arising out of my participation in the

Event.

5. I hereby consent to receive medical treatment which may be

deemed advisable in the event of injury, accident and or illness

during the Event.

6. I understand that at Event or related activities, I may be

photographed. I agree to allow my photo, video or film likeness to

be used for any legitimate purpose by the Event holders,

producers, sponsors, organizers and or assigns.

7. IMPORTANT: EFTA and the organizers of this race do not

provide insurance coverage for injuries that occur at the Event.

The costs related to those injuries are the responsibility of the

individual participant.

8. Bicycle use: Bicycles or bicycle equipment, wheels or other

components may be loaned or borrowed for use in the Event. A

nominal charge may be collected to cover bicycle maintenance

and purchase. This is a loan and does not constitute a rental

agreement. I understand that I assume responsibility for the

mechanical soundness of any bicycle and its parts, including but

not limited to tires, gears, wheels, spokes, hubs, chain, bolts, and

all other bicycle parts. I have examined or will examine the bicycle

and certify that it is properly assembled and fit to ride. I accept

responsibility for damaged or lost equipment.

9. The AWRL shall be construed broadly to provide a release and

waiver to the maximum extent permissible under applicable law. I

understand that I am giving up substantial rights, including my

right to sue Releasees for injuries resulting from the inherent risks

of cycling and the ordinary negligence of Releasees. I

acknowledge that I am signing this agreement freely and

voluntarily, and intend my signature to be a complete and

unconditional release of all liability to the greatest extent permitted

by law.

10. I hereby certify that I have read this document; and, I

understand its content.