ACCIDENT WAIVER & LIABILITY RELEASE FORM COLL

To participate, the following TWO statements must be read and RT I

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agreed to with your signature in ink on the registration form.

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SAFE & CONSIDERATE RIDING AGREEMENTS: REALITIES FOR CHILDREN
Riding safely and considerately is vital to the safety and enjoyment E
presents

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for all riders. The future of cycling events in Colorado depends upon RT U
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your cooperation in following safe cycling practices. I agree to the
following:
• Ride single file except to pass when possible
Overland Sertoma‛s
• Wear a helmet at all times while riding
• Ride as far to the right side of the road as practical
• Always carry personal identification
• Obey all traffic regulations, signs, and lights. 2009
ACCIDENT WAIVER AND RELEASE OF LIABILITY
I acknowledge that this athletic event is an extreme test of a person’s
physical and mental limits and carries with it the potential for death,
serious injury and property loss. The risks include, but are not limited
to, those caused by terrain, facilities, temperature, weather, condition
of athletes, equipment, vehicular traffic, action of other people

Sunday, August 9, 2009

including, but not limited to, participants, volunteers, spectators,
coaches, event officials, and event monitors, signage, and/or producers
of the event and lack of hydration. These risks are not only inherent
to athletics, but are also present for volunteers. I hereby assume all
of the risks of participating and/or volunteering in this event. I realize
that liability may arise from negligence or carelessness on the part of
the persons or entities being released, from dangerous or defective
equipment or property owned, maintained or controlled by them or
because of their possible liability without fault.
I certify that I am physically fit, have sufficiently trained for
participation in the event and have not been advised otherwise by a
qualified medical person. I acknowledge that this Accident Waiver and
Release of Liability (AWRL) form will be used by the event holders,
sponsors and organizers, in which I may participate and that it will
govern my actions and responsibilities at said events. In consideration
of my application and permitting me to participate in this event, I
hereby take action for myself, my executors, administrators, heirs,
next of kin, successors, and assigns as follows: (A) Waive, Release and
Discharge from any and all liability for my death, disability, personal
injury, property damage, property theft or actions of any kind which
may hereafter accrue to my including my traveling to and from this
event, the following persons: Pedal to the Point Turning Point Bike
Tour, their directors, offices, employees, volunteers, representatives,
and agents, the event holders, event sponsors, event directors, event
volunteers (collectively “Releasee”); (B) Indemnify and Hold Harmless
Rain or Shine
the Releasees from any and all liabilities or claims made as a result

Ride With Us!

of participation in this event, whether caused by the negligence of
Releasee or otherwise.
I hereby consent to receive medical treatment which may be deemed
advisable in the event of injury, accident, and or illness during this
event.
I understand that at this event or related activities, I may be
photographed. I agree to allow my photo, video or film likeness to Family Fun · After-Ride BBQ
be used for any legitimate purpose by the event holders, producers,
sponsors, organizers and/or assigns.
This AWRL shall be construed broadly to provide a release and Register online at www.active.com
waiver to the maximum extent permissible under applicable law. I
hereby certify that I have read this document; and, I understand its
content. I also understand that my registration fees are non-refundable. Questions? 970.567.6459
PARENT GUARDIAN WAIVER FOR MINORS (UNDER 18 YEARS OLD)
The undersigned parent and natural guardian of legal guardian
hereby represent that he/she is, in fact, acting in such capacity and
agrees to save and hold harmless and indemnify each and all of the
parties referred to above from all liability, loss, cost, claim or damage
whatsoever which may be imposed upon said parties because of any
defect in or lack of such capacity to so act and release said parties on
behalf of the minor and the parents or legal guardians.
www.turningpnt.org
Indicate your agreement to the above TWO statements with your
signature on the registration form.
Here’s What you Need to Know
• Sunday, August 9, 2009
• 7:00 a.m.
• Waverly School
10431 N. County Rd 15
Waverly, CO 80524
Brief Description:
Fully supported 24, 52 and 72 mile rides
designed for every age and ability. Unique
routes offer a variety of terrain and scenery
from open farmland north of Fort Collins to
the streets of Loveland.
Three routes to choose from:
Family Ride (24 miles)
This route is great for the beginner cyclist. An
easy ride with flat roads, ride north into scenic
farmland and open fields and back south to
the town of Wellington, then head northwest
back to Waverly School.
Distance Ride (52 miles)
Intermediate cyclists follow a majority of the
24-mile route but continue south at
Wellington past the Budweiser factory and
into Fort Collins, riding much of what is called
the “cement factory loop” by many local cy-
clists. A great ride with flat straightaways and
rolling hills.
Endurance Ride (72 miles)
If you’re in for the long haul, this route is for
you. Ride south through Timnath and into
Loveland, then back north into Fort Collins
alongside Hughes Stadium. Wind into Laporte,
and enjoy the drastic change in scenery back
to Waverly.
Register online at www.active.com
or complete attached registration form
Proceeds from Pedal to the Point support mental
health, counseling, substance abuse treatment
and education services for Turning Point
Youth and their families.
Turning Point is a Colorado 501(c)3
non profit organization.
Pedal to the Point Bike Tour
2009 Entry Form
One registration form per rider. Please print.
Or register online at www.active.com
WHEN: Sunday, August 9, 2009
WHERE: Waverly School
10431 N. County Road, Waverly, CO
TIME: 7:00 a.m.
Name:___________________________________________
Address:_________________________________________
City:______________________ State:_____ Zip:______
Day Time Phone: ________________________________
E-mail: __________________________________________
Age:_______ Sex: o Male o Female
Select Route: o 72 Mile o 52 Mile o 24 Mile
FEES:
(100% donation to Turning Point to benefit high
risk youth in Northern Colorado)
1 Adult Rider - $40
1 Adult & 1 Youth under 18 - $60
1 Adult & 2 or more children - $100
Send check or pay by credit card:
Visa/MasterCard:_________________________________
Exp. Date: ____________
_____________________________________________
Printed name of cardholder
_______________________________________________
Signature of Cardholder
I have read the “Safe & Considerate Riding Agreement”
and the “Accident Waiver and Release of Liability” and
agree to all of the terms and conditions. I understand I am
giving up substantial rights by signing this AWRL; that this
is a complete and total release of liability and indemnifica-
tion that Releasee shall rely upon with the intent that it is
a complete and unconditional release of all liability to the
greatest extent allowed by law.
Signature (in ink):
_____________________________________Date: _______
(If under age 18, parent/guardian must sign)
For additional Information:
Call 970.567.6459
or e-mail nscott@turningpnt.org
Mail: Turning Point
1644 S. College Ave.
Fort Collins, CO 80525
Fax: 970.221.2727