Registration Adult 2019

Tour d Orange Adult 2019

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

Tour d Orange Saturday, August 24, 2019

You only need to send page 2, the one with your information.No need to send page 1. If you want a tshirt be sure to indicate size and color.

MINORS; Must be accompanied by an adult if 15 or under at all times. Tour d’Orange takes no responsibility for minors.

Minors must sign a waiver the day of the event with a legal guardian or parent who signs as well.

Rain or Shine, no refunds. Promotor has the right to alter routes for safety reasons or cancel the event in the case of weather.

IN CONSIDERATION of being permitted to participate in any way in Tour d'Orange Bicycling Activities/Tarwheels MS Ride ("Activity") I, for myself, my personal representatives, assigns, heirs (emails/photographs/insurance) agree not to sue anyone involved in this ride.:

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 traveling 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 foreseeable 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 TOUR D'ORANGE, THE VISITOR'S CENTER OF HILLSBOROUGH, SYLVIA HILLER, TARWHEELS MS TEAM, VOLUNTEERS, ALL SPONSORS, THE INSURANCE AGENCY, CHATHAM, ALAMANCE, OR ORANGE COUNTIES, their respective 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 any 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 THIS AGREEMENT, HAVE SIGNED IT VOLUNTARILY 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. I AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

2. YOU UNDERSTAND THAT PARTICIPATION IN THE EVENT IS POTENTIALLY HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE AND PROPERLY TRAINED. YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH HAZARDS ARE TO BE EXPECTED. PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES INCLUDING DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND CONVENANT NOT TO SUE ACTIVE FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU OR ANY REGISTERED PARTY.

Rain or shine on August 24, no refunds. I HAVE READ THE ENTRY FORM INFORMATION PROVIDED AND CERTIFY MY UNDERSTANDING AND COMPLIANCE BY MY SIGNATURE BELOW

Name (if over 18):____________________ Address:___________________________________ Signature:____________________ Date:_____________Email Address:______________________________ Cell Phone:__________________ Other Phone:_______________

Route?: 34 64 100 miles

Emergency Contact 1:_____________________ Phone:_____________ Contact 2:_______________________ Phone:_________________ Be sure I receive it by 8/24/19. If not, I will have to charge you and shred the other. Send to: Sylvia Hiller, 402 Intern Way, Durham, NC 27713

Make check out to Tarwheels MS Team for $20 postmarked by 6/15, $25 by 8/12, 8/13 to 8/21 $35, $55 8/22 to day of.

Last day to order a shirt is 7/25/19.

Pay $5 for a cotton tshirt if size S M L XL. Blue or Black.

Pay $7 for a cotton tshirt if size XXL. Blue or Black.

Direct donations to Glen Newhart for $50 will be honored, if a receipt is shown on your cell phone or emailed to 7sylvia41@gmail.com. Ride for free. Or you may write a check to National Transplants.org for $50 and ride for free. (including registration day)

No Refunds. Good Causes.

Weather can cancel a route or the event.Temperatures above 104 F will restrict the event to 34 and 64 miles.