QUICKIE

All-mountain jam 2020

ASSUMPTION OF RISK & RELEASE OF LIABILITY

I am aware that cycling involves inherent risks, including but not limited to those
associated with man-made and natural jumps; collision with pedestrians, vehicles,
other participants, animals, and fixed or moving objects; imperfect course
conditions; surface hazards, including pot holes; equipment failure; inadequate
RACE REGISTRATION FORM safety equipment; use of equipment or materials provided by the Event organizer
and others; and weather conditions. I fully understand that participating in the Event
Name: Age: is an extreme test of a person’s physical and mental limits and may involve the risk
of serious injury or death, economic loss, property damage or loss that may result
Address: from my own actions, inactions or negligence, and also from the actions, inactions
or negligence of others. I understand and voluntarily assume these risks.
Team Name:
Date of I hereby forever release, waive, and discharge the event organizers and each of
Gender: their respective officers, volunteers, members, clubs, officials, and affiliates,
Birth: sponsors, property owners, and public entities, that are connected with the Event,
Email and each of their respective officers, agents, employees, and volunteers
CP No.:
Address: (collectively, “Releasees”) from any and all claims that may arise out of or are
Category: related to my participation in the Event, including claims arising from the ordinary
Race negligence of Releasees.
Number:
I have carefully read the foregoing and fully understand its terms. I attest that I am
18 years of age or older. I understand that I am giving up substantial rights,
COVID19 HEALTH STATUS MONITORING 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
YES NO unconditional release of all liability to the greatest extent permitted by law.
Are you feeling unwell?
Have you had any Covid-19 symptoms: Fever over 38
degrees, dry cough, shortness of breath? Signature over printed name Date
Have you been in contact with someone with COVID-19
PARENTAL / LEGAL GUARDIAN CONSENT
symptoms?
Planned destination after leaving this site? I attest that I am the parent or legal guardian of the minor participant named above. I
have carefully read the foregoing and agree to all of the terms.

Signature over printed name Date