BIKE RODEO

The Wapato Police Department and Wapato Community Center and Wapato Youth Athletic Club invite all children aged 5-13 years of age to attend the fourth annual Bike Rodeo in the City of Wapato. Attendees must bring a bike in safe working condition to participate.

Date:June 13, 2015Time:11 a.m.

Cost: FREE!!Location: Wapato Community Center

You must register at the Wapato Police Department by June 5th to participate.

Space is limited to the first 100 Children to Sign up!

------

Child’s Name: ______Age: ______Gender: ______

Address: ______Phone #: ______

Parent/Guardian’s Name: ______Emergency # ______

In order to participate, the waiver below must be signed by an adult and returned by ___(Date)______.

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

In consideration of being permitted to participate in the Bike Rodeo program sponsored by the Wapato Police Department/Wapato Youth Athletics/Wapato Community Center and advertised at the Wapato School District,

I ______

1. Acknowledge, agree, and represent that I understand the nature of the activity and that my child and/or I am qualified and in good health and proper physical condition to participate in such activity. I further acknowledge that the activity will be conducted according to generally accepted practices by Wapato Police Department/Wapato Youth Athletics/Wapato Community Center, and I further agree and warrant that at any time I believe conditions to be unsafe, I will immediately discontinue my, or my child’s, further participation.

2. Fully understand that: (a) such activity can involve some risk and danger; (b) these risks and dangers can be caused by my child’s own actions or inactions, the actions or inactions of others participating in the activity, the condition in which the activity takes place, or the negligence of the releasees named below;

(c) there may be other risks and social and economic losses either not known to me or not readily

foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my or my child’s participation in the activity.

3. Hereby release, discharge, and covenant not to sue Wapato Police Department/Wapato Youth Athletics/Wapato Community Center/Wapato School District and their respective directors, agents, officers, members, employees, and volunteers from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or part by the negligence of the releases or otherwise, including negligent rescue operations. I further agree that, despite this release and waiver of liability, assumption of risk, and indemnity agreement, if I or anyone on my behalf makes a claim against the releasees, I will indemnify, save, and hold harmless each of the releasees from any litigation, expenses, attorney fees, loss, liability, damage, or cost that may incur as the result of such a claim.

______
Signature of Parent GuardianDate