REGISTRATION Long Island Bike Challenge 2017
To begin the registration process please read this form and type your name at the bottom.

PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK
In consideration of being allowed to participate in any way in the Long Island Bike Challenge
(LIBC) bicycling event, related events and activities I, the undersigned, acknowledge,
appreciate, and agree that:
1. The risk of injury from participation in the LIBC is significant, including the potential for
permanent paralysis and death, and while particular rules, equipment, and personal discipline
may reduce this risk, the risk of serious injury does exist;
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (defined below) or others,
and whether or not covered by my personal health or other type of insurance; and I assume
full responsibility for my participation in the LIBC;
3. I understand that photographs may be taken of me in connection with the LIBC. I hereby
consent to the taking of such photographs and the publication of such photographs;
4. I willingly agree to comply with the stated and customary terms and conditions for
participation. If, however, I observe any unusual significant hazard during my presence or
participation, I will remove myself from participation and bring such to the attention of the
nearest official immediately; and,
5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin,
HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LONG ISLAND BIKE
CHALLENGE, INC., operator of the LIBC, its officers, officials, agents and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors
of premises, property and/or equipment used to conduct the event ("Releasees"), WITH
RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, LOSS OR DAMAGE to person
or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
I Accept the Release of Liability and Assumption of Risk. Type your first and last
name, your email address, then click submit to continue
.
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