Chicago Urban Bicycling Society

2017

Membership Agreement and RELEASE

In consideration for the opportunity to become a member of the Chicago Urban Bicycling Society, an Illinois not-for-profit corporation (C.U.B.S.) and participant, as such, in any trips, events, lessons, races, biking sports and non-sport activities of the C.U.B.S., I, for myself and my heirs, assigns, executors, and administrators, hereby agree and RELEASE and forever discharge, C.U.B.S., its officers, staff (whether paid or unpaid), directors, trip or event leaders, instructors, assistants, agents, representatives, and members from any and all claims that I may have arising from such participation. By executing this RELEASE, I agree that none of the foregoing shall be liable, either jointly or severally, for any injuries to my person or property that I might sustain, either past, present, or, in the future. I also agree to indemnify and hold harmless the parties from and against any and all actions, claims, demands, liability, loss, damage and expense of any kind, including attorney’s fees, arising from such claims.

I understand that as a participant, whether signed up for a particular event or not, I am aware of and familiar with the ordinary and extraordinary hazards and risks involved in bicycling, including any potential injuries resulting from my actions, or the actions or negligence of others, and I understand that trips, events, lessons, races, or other sport and non-sport activities, have inherent risks, and I understand that I am assuming all those risks.

I agree to abide by the C.U.B.S. By-Laws, and will have the opportunity to examine said by-laws upon request. I understand that the C.U.B.S. membership list cannot be used for any purpose other than in the course of C.U.B.S.-related business, without the express written consent of the Board of Directors. There will be a charge, set by the Board, to use the club’s membership list for any other purpose.

___ I am 21 years of age or older, or have consent of a guardian , and I agree only to engage in activities, for which I am physically fit to participate; I have read and agree to, and understand, the sign-up policies, procedures and the content of this RELEASE.

Dated______Signature______

Print Name______

IF A MINOR:

______(parent or guardian)______of ______state that the above named MINOR will only engage in activities in which he/she is physically fit to participate; that I give my permission, and I am assuming full responsibility for said MINOR.

I have read, agree to, understand, and acceptthis Membership Agreement and RELEASE.

Dated______Signature______

Print Name______

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