Registration Form

I acknowledge that by signing this document, I am releasing the organizers, sponsors and all others connected to this tour liability. This entry blank and release is a contract with legal consequences. I have been advised to read it carefully before signing. In acceptance of my application for entry in the Tour of Crawford County, I hereby freely agree to and make the following contractual representations and agreements. I acknowledge that cycling is an inherently dangerous sport and fully realize the dangers of participating in a bicycle race and FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING, by way of example, and not limitation, the following: the dangers of collision with pedestrians, vehicles, other racers, and fixed or moving objects; the dangers arising from surface hazards, equipment failure, inadequate safety equipment, THE RELEASE PARTIES¹ OWN NEGLIGENCE, and weather conditions; and the possibility of serious physical and/or mental trauma or injury associated with athletic cycling competition. For myself, my heirs, executors, administrators, legal representative, assignees, and successors in interest (collectively ³Successors²), I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, PROMISE NOT TO SUE AND INDEMNIFY the sponsors of this event, the organizers and any promoting organizations, property owners, law enforcement agencies, all public entities, special districts, and properties and their respective agents, officals, and employees through or by which the events will be held (collectively, the ³released Parties²)FROM ANY and all rights and CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASED PARTIES¹ OWN NEGLIGENCE which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with the event, or travel to and return from the event. I agree it is my sole responsibility to be familiar with the race course and any special regulations for the event. I understand and agree that situations may arise during the race which may be beyond the immediate control of the race officials or organizers, and I must continually ride so as to neither endanger myself nor others. I accept responsibility for the condition and adequacy of my competition equipment. I will compete wearing an ANSI- or Snell-approved helmet that can protect against serious head injury, and assume all responsibility and liability for the selection of such helmet. I have no physical or medical condition which to my knowledge would endanger myself or others if I participate in this event or would interfere with my ability to participate in this event. I agree, for myself and my successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert my claim in contravention of this agreement, the asserting party shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of any other provision herein or as a consent to any subsequent waiver or modification.

Signature of Entrant & Today¹s Date _________________________________________________________________________

CONSENT AND RELEASE OF PARENT OR GUARDIAN I am the parent or guardian of _________________________________________________(child¹s name). My child is fit for the race, and I consent to my child¹s participation. I HAVE READ AND I UNDERSTAND THE RELEASE AGREEMENT. In consideration of my child to participate, I consent to it and agree that ITS TERMS SHALL LIKEWISE BIND ME, MY CHILD, my heirs, legal representation and assignees. I HEREBY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE RELEASED PARTIES FROM EVERY CLAIM AND ANY LIABILITY that I or my child may allege against the released parties (including reasonable attorney¹s fees or costs) as a direct or indirect result of injury to me or my child because of my child¹s participation in the race, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES or others. I PROMISE NOT TO SUE any Release Party on my behalf or on the behalf of my child regarding any claim arising from my child¹s participation in this race.

Signature of Parent/Guardian & Today¹s Date __________________________________________________________________