The undersigned hereby recognizes that bicycling is not an absolutely safe sport or
mode of transportation, and that accidents can and do occur, including injuries that
may be serious and permanent, despite all reasonable care. In consideration of the
services to be rendered to the undersigned by Washington Area Bicyclist
Association (referred herein as “WABA”) and its partners, KIPP DC, and Gearin Up
Bicycles, and any additional partners not listed herein. The undersigned for
him/herself and his/her heirs, personal representatives and assignees, hereby
Releases and Forever Discharges WABA, and any of their employees, volunteers,
successors, assigns, trustees, officers and agents, from any and all present and
future claims, demands, obligations, liabilities, and rights of any action whatsoever,
INDLUDING CLAIMS OR RIGHTS BASED ON NEGLIGENCE OR
CARELESSNESS, whether known or unknown, which might be asserted against
WABA and any of their employees, volunteers, successors, assigns, trustees,
officers and agents, related to or by any reason of any occurrence, event,
transaction, matter, cause, fact or thing arising from but not limited to bicycle
instruction, bicycle training, bicycle repairs, bicycle mechanics, bicycle safety
instruction, bicycle rides, bicycle tours, bicycle competition, and any other indoor or
outdoor activity or field trip conducted under the supervision of WABA.
By signing this form, the undersigned, being a person of at least eighteen (18)
years of age acting on behalf of the following Participant as Self, Parent, or
Guardian, I acknowledge my understanding of the foregoing, that I am signing this
form voluntarily, and that I give WABA and any of their employees, volunteers,
successors, assigns, trustees, officers, and agents the power to authorize medical
care for the participant. I also acknowledge that the participant should properly use
a bicycle helmet whenever riding a bicycle.