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Steve Lambright
(864) 268-4357
slambright@miraclehill.org.
  1. I ACKNOWLEDGE THAT BY AGREEING TO THE TERMS OF THIS DOCUMENT, I AM ASSUMING RISKS, AND AGREEING TO INDEMNIFY, NOT TO SUE AND TO RELEASE FROM LIABILITY MIRACLE HILL MINISTRIES, INC., ITS AGENTS, SUCCESSORS OR ASSIGNS, EMPLOYEES, VOLUNTEERS, MEMBERS, SPONSORS, PROMOTERS AND AFFILIATES (COLLECTIVELY “RELEASEES”), AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS ENTRY BLANK AND RELEASE IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES. I HAVE READ IT CAREFULLY BEFORE SIGNING, AND I UNDERSTAND WHAT IT MEANS AND WHAT I AM AGREEING TO BY SIGNING.

    In consideration of the issuance of a license to me by me or more of Releasees or the acceptance of my application for entry in the above event, the receipt and sufficiency of which is acknowledged, I hereby freely agree to and make the following contractual representations and agreements. I ACKNOWLEDGE THAT CYCLING IS AN INHERENTLY DANGEROUS SPORT AND FULLY REALIZE THE DANGERS OF PARTICIPATING IN A BICYCLE RACE, whether as a rider, coach, mechanic or otherwise, and FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING, by way of example, and not limitation: the dangers of collision with pedestrians, vehicles, other racers, and fixed or moving objects; the dangers arising from surface hazards, including pot holes, equipment failure, inadequate safety equipment, THE RELEASEES’ OWN NEGLIGENCE, the negligence of others and weather conditions; and the possibility of serious physical and/or mental trauma or injury, or death associated with cycling competition. For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest (collectively “Successors”) I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO SUE the Releasees and all sponsors, organizers and promoting organizations, property owners, law enforcement agencies, public entities, special districts and properties that are in any manner connected with this event, and their respective agents, officials, and employees through or by which the events will be held, (the foregoing are also collectively deemed to be Releasees), FROM ANY AND ALL RIGHTS AND CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASEES’ OWN NEGLIGENCE, which I have or which may hereafter accrue to me, and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with the event, or travel to or return from the event. I agree it is my sole responsibility to be familiar with the race course, the Releasees’ rules, and any special regulations for the event and agree to comply with all such rules and regulations. I understand and agree that situations may arise during the event, which may be beyond the control of the Releasees, and I must continually ride and otherwise participate so as to neither endanger others or myself. I accept responsibility for the condition and adequacy of my health, my equipment and my conduct in this cycling event. I will compete wearing a helmet, which satisfies the requirements of the Releasees’ Racing Rules or Regulations and that can protect against serious head injury, and assume all responsibility and liability for the selection of the helmet. I have no physical or medical condition, which would endanger others or myself if I participate in this event, or that would interfere with my ability to safely participate in this event.

    In signing this form I give permission for Miracle Hill Ministries, Inc. to use my likeness in photographs, video or audio, to advance awareness of the ministry and its mission and/or to appeal for financial support. My likeness may be used in ministry publications, web content, radio or television broadcasts, newspaper articles/releases and any other forum or project as needed by Miracle Hill Ministries.

    It is my intent that this Release is to be construed and interpreted as a general release of all claims and to release Releasees from any and all causes of action, claims or demands without limitation of whatsoever kind or nature, known or unknown, past, present or future, contingent or fixed, which arise out of or are in any way connected to the event for which I have applied to participate.

    I agree, for myself and my successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert a claim contrary to what I have agreed to in this contract, the claiming party shall be liable for the expenses (including legal fees) incurred by Releasees in defending the claims. This contract may not be modified orally, and a waiver or modification of any provision shall not be construed as a waiver or modification of any other provision herein or as a consent to any subsequent waiver or modification. I consent to the release by any third party to Releasees and their insurance carriers of my name and medical information that may relate solely to any injury or death I may suffer arising from this event. The provisions of this release are severable. Every term and provision of this agreement that is determined by a court of competent jurisdiction to be unenforceable or invalid, shall not affect the other terms and provisions, which shall remain binding and enforceable.

  2. (required)
  3. (required)
  4. By checking this box, I agree to the terms and conditions of this release.
  5. CONSENT AND RELEASE OF PARENT OR GUARDIAN

  6. I am the parent or guardian of

  7. (child). My Child is fit for the event, and I consent to my Child’s participation. I HAVE READ AND I UNDERSTAND THE ABOVE CONTRACT. In consideration of allowing my Child to participate, I consent to the contract and agree that ITS TERMS SHALL LIKEWISE BIND ME, MY CHILD, my heirs, legal representatives, and assignees. I HEREBY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE RELEASEES FROM EVERY CLAIM AND ANY LIABILITY that I or my Child may allege against the Releasees (including reasonable legal fees and costs) as a direct or indirect result of injury or death to me or my Child because of my Child’s participation in the event, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or others. I PROMISE NOT TO SUE RELEASEES on my behalf or on behalf of my Child regarding any claim arising from my Child’s participation in the event.

  8. Name of Parent or Guardian:
  9. By checking this box, I agree to the terms and conditions of this release.
 

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