Raleigh Police Department Foundation Five-O Memorial Ride Waiver & Registration Form

Having read this waiver, I, for myself and anyone entitled to act on my behalf, including heirs and assigns, waive and relieve the Raleigh Police Department Foundation, any any/all organizers, corporate sponsors, cooperating organizations and any other parties connected with this event in any way together with their respective successors and assigns from all claims or liabilities of any kind arising out of my participation in the Raleigh Police Department Foundation Five-O Memorial Ride, even though such claim or liability may arise out of the negligence or carelessness on the part of any person named in this waiver. I do hereby agree that I am physically capable of participating in this event, that my bicycle and any other equipment I may use to participate in the event is in working condition, that I will observe applicable traffic and event rules and that I will wear a helmet. If I do not follow the rules of the event, I understand that I may be removed from the event. I consent to receive medical treatment, which may be deemed advisable in the event of injury or illness during the event. I give my permission to the Raleigh Police Memorial Foundation to use my name, any photographs or any other media, including video or any other audio format during the course of this event.

I agree to the Raleigh Police Department Foundation Rules of the Road:

1.   ALERT your fellow cyclists.  Call out road hazards, "on your left" when passing, "car back," "gravel," etc. Remember that you are responsible not only for yourself but for the safety of everyone you are riding with.

2.   Be PREDICTABLE with no sudden unannounced movements.  Try not to apply the brakes when in front of a large group unless you give plenty of notice.

3.   OBEY ALL TRAFFIC LAWS like any other vehicle on the road.

4.   ALWAYS stay to the right half of the lane passing others on the left only.  Never cross the yellow line.

5.   Remain highly alert when riding in pace lines and especially cautious when riding in pace lines with cyclists you have not regularly trained with.

You must have medical insurance at the time of the event, and agree to the following Agreement and Waiver of Liability.

In consideration for being permitted to participate in this event, I agree to assume all risks and to release, hold harmless and covenant not to sue any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the Medical Director, and members of the Medical Team, and all other government or public entities including, but not limited to, the Department of Transportation and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, "the releasees"), for any claim, loss or liability that I may have arising out of my participation in the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the releasees or otherwise.

I intend by the Waiver and Release of Liability to release in advance, and to waive my rights and to discharge all of the releasees from all claims, losses or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of their possible liability without fault. I understand and agree that this Waiver and Release of Liability is binding on my heirs, assigns and legal representatives.

I am physically capable of completing this event. I understand that I may be asked to provide a doctor's note or other proof that I am permitted to participate by my primary healthcare provider. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my participation in this event. I will maintain personal health insurance while participating in the event. I acknowledge that I, and I alone, am solely responsible for my personal health and safety, and the personal property I bring with me. I will read the event description and rules for participation in the event and I will abide by all rules and regulations established by the event organizers and personnel as well as the local vehicle code. I further agree that my participation in the event is subject to the sole discretion of the organizers and Medical Director of the event, and that my participation may be limited for medical or other safety-related reasons.

I understand that my name, photograph, voice or likeness may be used for all promotional purposes related to the event by Grab My Wheel and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use and waive all rights of privacy I have in connection therewith. And I understand that I will not benefit financially from any use thereof.

I have carefully read this Waiver and Release of Liability and fully understand its contents. I am aware that by signing this Waiver and Release of Liability, I am waiving legal rights and knowing this, I sign it of my own free will.

(If Under 18)  Parent or Guardian's  Guarantee 

I represent that I am the parent or legal guardian of the above named individual, and that I have read, fully

understand, and agree to all of the above stated conditions