2008 Between the Waters Bike Tour

On-line Registration and payment with Paypal.
On-line Registration ends September 30, 2008.

 Helmets are Required for this event – No Rain Date – No Refunds

This form may be used by a single registrant or by a family sharing the same address and contact information and making a single PayPal payment.   You will receive confirmation by email.

Principal Registrant Contact

* Required
First Name * Last Name *
Street Address *
City * State * Zip Code *
Email * Phone * - * - *

Registration Information

First Name Last Name Age Group T-Shirt Route
(miles)
Oyster
Roast
Friday
Fun Ride
Processing Fee:  A fee of $1 per registrant is charged to help CBES defray the cost of online registration.

Release and Waiver of Liability:
Each registrant is required to sign a liability waiver on the day of the Bike Tour. Parents/guardians of minors participating will sign a release on their behalf.  Please read the text below and check box at bottom indicating you understand and accept this condition.

RELEASE AND WAIVER OF LIABILITY
(A form and signature are required for EACH ADULT participant):
I am aware that bicycling is an athletic event which poses potentially serious risk of injuries or death to its participants.  I understand that I may be injured or die as a result of my negligence, the negligence of others, or through no fault of myself or anyone else because of the nature of the activity in which I am going to be engaged.  I also understand that bicycles ridden on public and private roads are often difficult to control because of road and weather conditions.  With this waiver I accept notice of the risks involved in riding bicycles on public and private roads.  The waiver shall remain valid for the within named events, on the Between the Waters Tour weekend, October 24, 25 & 26 of 2008, unless expressly revoked by the participant or parent or guardian of a minor, in writing, with receipt acknowledged by Citizens for a Better Eastern Shore, the operator of the Between the Waters Tour.  Furthermore, with this waiver I expressly assume the risk of injury or death due to negligence by Citizens for a Better Eastern Shore, its agents, employees, members, officers, directors, staff, and any landowners, their families, employees, or tenants over whose land I ride for my own safety or for the safety of my minor child.
With the knowledge of the foregoing, and as an inducement for Citizens for a Better Eastern Shore to allow me to ride in the Between the Waters Tour, I hereby agree to waive or release any and all rights that I or my heirs may have to make a claim against Citizens for a Better Eastern Shore or any members of its Board of Directors, employees and participants, or any landowners over whose land I ride, arising from any damages, injury, or death which I might sustain.  I further agree to indemnify and hold harmless all of the foregoing from any claims which I might make or which might be made on my behalf by others or which might be made against me by others, arising from riding in the Between the Waters Tour.  Furthermore, I agree to indemnify Citizens for a Better Eastern Shore, its Board of Directors, members or employees, or any landowners, their families, employees or tenants, for any injury, death, loss or damage to any personal property which might occur during an event sponsored by Citizens for a Better Eastern Shore or held in its behalf or for its benefit, when such injury, death, loss or damage occurs on the property of a landowner.
By signing this waiver and release, I UNDERSTAND THAT I AM GIVING UP (WAIVING AND RELEASING) ANY RIGHT I MIGHT HAVE TO SUE OR MAKE A CLAIM WHICH I MIGHT HAVE OR WHICH MIGHT SUBSEQUENTLY ARISE OR OCCUR AGAINST CITIZENS FOR A BETTER EASTERN SHORE OR ITS MEMBERS AND PARTICIPANTS, OR ITS BOARD OF DIRECTOS, OR ANY LANDOWNERS, THEIR FAMILIES, EMPLOYEES OR TENANT, OVER WHOSE LAND I RIDE, FOR ANY INJURIES I MIGHT SUSTAIN WHILE BICYCLE RIDING OR PARTICIPATING IN A BICYCLE ACTIVITY, and that I AM INDEMNIFYING AND HOLDING HARMLESS, CITIZENS FOR A BETTER EASTERN SHORE, ITS BOARD OF DIRECTORS, MEMBERS AND EMPLOYEES, AND/OR ANY LANDOWNERS, THEIR FAMILIES, EMPLOYEES AND TENANTS, OVER WHOSE LAND I RIDE, FOR INJURING ANYONE ELSE WHILE SO ENGAGED.  IT IS MY INTENT TO GIVE UP THOSE RIGHTS AND PROVIDE THE HOLD HARMLESS AGREEMENT, AND I DO SO KNOWINGLY AND VOLUNTARILY.

For parents of minor participants:
(To be signed by parent or guardian on day of Bike Tour:)
PARENT OR GUARDIAN RELEASE OR WAIVER:  I am the parent or guardian of a minor(s), and on that minor’s behalf and on my behalf and on behalf of all other parents or guardians of the minor, I accept the release and waiver of liability at the top of this form as inducement for allowing my child, or this minor, to ride in the Between the Waters Bike Tour with Citizens for a Better Eastern Shore.  I further authorize any emergency medical care which may be necessary.  I represent and warrant that I have the authority to give this release.

I have read the liability waiver and understand that all adults listed herein are required to sign a waiver on the day of the Bike Tour.

  Step One of Three

 

16388 Courthouse Road • PO Box 882 • Eastville Virginia 23347 757-678-7157
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