Scenic City Velo
Membership Application Release Form
ASSUMPTION OF RISK - INDEMNITY
TO: Scenic City Velo (SCV); its
officers, members, and sponsors.
RE : Participation in Scenic City Velo
organized rides, Scenic City Velo sponsored
bicycling races, Scenic City Velo sponsored
events, and any bicycling race in which a Scenic City Velo Member participates.
Each undersigned person ("Releasor') requests
permission as a Scenic City Velo (SCV)
Member to participate in SCV events, including but not
limited to, SCV organized rides, SCV sponsored bicycle
races, SCV sponsored events and any bicycle race as an
SCV member. In consideration of such permission, I (each
of the undersigned) for myself, my personal
representative, heirs, spouse, successors and assigns, DO
1. For myself, or on behalf of the minor I am signing
for, as appropriate release, discharge and covenant not
to sue the Releasees from any and all claims, demands,
actions, executions, judgments or liability, present or
future, arising out of strict liability or negligence of
Releasees or any other person or participant, or
otherwise, which causes for the undersigned injury,
death, damages or property damage.
2. Understand that operating and riding a bicycle
involves DANGER AND RISK OF INJURY OR DEATH which danger
and risk I appreciate and voluntarily assume, because I
choose to do so.
3. Acknowledge that no waiver of any of the provisions
of this release has been made to me and I understand and
agree that none would be effective.
4. Agree that this agreement shall apply to any
incident, injury, accident or death that may occur.
Releasor understands that it is not the purpose or intent
of the Releasees to teach safety rules, nor to serve as
the guardian of Releasor's safety and Releasor expressly
agrees that this release, waiver, and covenant not to sue
is intended to be as broad and inclusive as permitted by
the laws of the State of Tennessee and that if any
portion of this agreement is held invalid, it is agreed
that the balance shall, notwithstanding the partial
invalidity, continue in full legal force and effect.
Releasor further releases all of the Releasees from any
and all damage or claim whatsoever on account of first
aid, treatment or service rendered Releasor or arising
from any and all injuries sustained. Releasor affirms
that he or she understands that the terms of this
agreement are contractual and not a mere recital, and
that he or she has signed this document as his or her own
free act. This is a Tennessee contract and shall be
construed according to the laws of that state.
5. Covenants to hold Releasees harmless and indemnify
Releasees from any claim, demands, actions, execution,
judgment, liability, or expense, present or future,
Releasees may incur arising out of Releasors
participation in SCV organized bicycle rides, SCV
sponsored bicycle races, SCV sponsored events and any
bicycle race. If signing on behalf of a minor, I agree to
hold harmless and indemnify Releasees from any claims
brought by such minor.
I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS.
I UNDERSTAND I ASSUME ALL RISKS INHERENT IN OPERATING A BICYCLE.
I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THE ABOVE PROVISIONS.
ADULTS SIGNING FOR THEMSELVES
ADULTS SIGNING ON BEHALF OF MINORS
On Behalf of: ____________________________