AIR Waiver Form Jan2021

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Audax India Randonneurs Foundation

Waiver and Release from Liability

In consideration of my registration and for permitting me to participate in this event, I hereby take accountability
for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:

1. I certify that I am physically fit, have trained sufficiently for participation in this event and have not been
advised against participating by a qualified medical person.

2. I agree to give all other vehicles the right of way and conduct myself in a safe manner. I understand that
the use of a hard-shell riding helmet is required for this event. As the event may require riding in low-
visibility conditions (such as darkness, fog, rain, tunnels etc), I will, at all times, be equipped with and deploy
a strong front light, red rear lights (with spare bulbs and batteries for both) and reflective vest / bandolier. I
understand that portions of the route are along busy roads / highways, and I will obey all safety regulations
for bicycles travelling on busy roadways, and will be governed by all the local laws, including traffic laws.

3. I agree that it is my sole responsibility to be familiar with the route for this event. I understand and agree
that situations may arise during the event that may be beyond the immediate control of the event
organisers, officials and volunteers. I agree to indemnify and hold harmless, the entities or persons from
Audax India Randonneurs Foundation, its constituents, and its assigned associates and affiliates from any
and all claims made by other individuals or entities as a result of any of my actions during this event.

4. I understand that only basic first aid may be available to participants on the event route, provided the official
vehicle is close at hand. Should I require additional medical attention, I hereby consent to receive such
medical treatment which maybe deemed advisable during the event, and understand that I am solely
responsible for all costs and consequences relating to medical administration, evacuation and
transportation.

5. I agree that my registration fee is non-refundable. I understand that the event could be cancelled due to
weather or other causes or rescheduled at the discretion of the event organisers. I accept that the route
may be changed due to circumstances beyond the event organisers’ control.

6. I fully acknowledge that cycling is a hazardous activity and that this event carries with it, the potential for
death, serious injury and property damage and property loss. I hereby assume all the risks of participating
in this event, regardless of their cause. I waive, release and forever discharge Audax India Randonneurs
Foundation, its constituents and its assigned associates from any and all liability for my death, disability,
personal injury, property damage, property theft or any actions of any kind which may hereafter accrue to
me from this event.

7. I take full responsibility for my own safety during the period of COVID-19 pandemic or novel coronavirus
and assume all the risks of participating in this event and I waive, release and forever discharge Audax
India Randonneurs Foundation, its constituents and its assigned associates from any and all liability for my
death, myself contracting infection, spreading infection to others, hospitalization and any financial
expenditures thereof. I will take all safety precautions of carrying & wearing mask, carrying & using hand
sanitizer, maintaining social distancing and following all guidelines issued by local, state & central
authorities including Ministry of Home Affairs.

8. I will permit free use of my name and pictures from the event on various social media platforms, in media
broadcasts, print and television etc. This waiver and release of liability shall be construed broadly to provide
a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have
read this document and understand its contents.

I agree to all the above-mentioned terms.

Name: __________________________ Signature: _______________________ Date: _________________

Mobile: _________________________ Rider Number: ___________________ Event: __________________

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