I acknowledge that this athletic event "Tour de Corn" 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, conditon of athletes, equipment, vehicular traffic, actions of other people, including, but no limited to participants, volunteers, spectators, coaches, event officials and event monitors and or producers of the event and lack of hydration. These risks are not only inherenet to athletics but are also present for volunteers. I hereby assume all of the risks of participating and or volunteering for this event. I realize that liability may arise from negligence or carelessness of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of thier possible liability without fault.
Further, I certify that I am physically fit, have suffiviently trained for participation in the event and have not been advised otherwise by a qualified medical person.
I acknowledge that this ACCIDENT WAIVER & RELEASE OF LIABILITY form will be used by event holder, sponsors and organizers of the event in which I may participate and that it will govern my actions and responsibilities at said events.
I considertation of my application and permitting me to participare 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 here after occur to me including my traveling to and from the event, The following entities or persons: Chatham Jaycess organization, Wheel Fast Bicycle Co., their directos, officers, employees, volunteers, representatives, and agents, the event holders, event sponsors, event volunteers; B) Indemnify and hold harmless the entities or person mentions in this paragraph from any and all liabilities or claims made as a result of participation in this event, whether caused by the negligence of the releases or otherwise.
I hereby consent to reveive medical treatment which me be deemed advisable in the event of injury, accident and/or illness during this event.
The ACCIDENT WAIVER & RELEASE OF LIABILITY shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
**Helmets are strongly recommended**