Indemnity Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement BY PARTICIPANT/RIDER By signing this document you will waiver or give up certain legal rights for yourself, including rights to institute legal action. Please read carefully!Representing*YourselfYour childYour Full Name*Your Phone*Your Email Address* Your Date of Birth* Date Format: MM slash DD slash YYYY Your Age*Your ID Number*Child's Full Name*Child's Email Address* Child's Phone*Child's Date of Birth* Date Format: MM slash DD slash YYYY Child's Age*Child's ID Number*Emergency Contact Name*Emergency Contact Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country How did you hear about Biking in the Bosch?Google SearchFacebook SearchWord of MouthVehicle BrandingOtherOtherIndemnityDEFINITIONS: For the purposes of this agreement, the following terms shall be defined as follows: The term “Releases” shall mean the Owners (Joanna Dobinson) and Operators of Biking in the Bosch, their directors, officers, employees, guides, independent contractors, successors, agents, representatives and assigns. The term “Mountain Biking” shall include all activities, services, transportation and use of facilities provided for or arranged by the Releases including but not limited to cycling; bike descents; mountain bike tours; training; use of trails and roads; competitions; instructional courses; Camp Programs or any other activity related to the riding of bicycles and any other vehicles (whether propelled by the rider thereof, self-propelled, or otherwise ) including but not limited to: orientation and instructional sessions, transportation, accommodation and recreational activities in addition to bicycling, loading, unloading and travel in movement; and all other activities. The term “Camp Programs” shall mean all activities, programs, instruction, services, transportation, accommodation and use of facilities by Biking in the Bosch’s camp participants. By signing this release as the Participant , you acknowledge and agree to the following: ASSUMPTIONS OF RISKS I acknowledge and accept that Mountain Biking involves risks, danger and hazards in addition to those normally associated with bicycle riding and that injuries are a common and expected part of Mountain Biking. Mountain Biking, as offered by Biking in the Bosch, takes place on steep and rugged terrain and will expose the rider/participant to many risks, dangers and hazards. The terrain may be uninspected, uncontrolled and unsafe due to constantly changing conditions. The inherent risks, hazards and dangers include but are not limited to the following: Collision with other riders, vehicles, bicycles, trees, tree stumps, tree wells or other objects; Fences, walls and other man-made structures; Mechanical failure of equipment; Rapid and uncontrolled acceleration on hill and inclines; Changing weather conditions; Unsafe terrain – including steep or slippery sections, cliffs, rocks, holes, or crevasses; Extreme variation in cycling terrain; Encounters with domestic and non-domestic animals; Falling or being thrown off the mountain bike; Negligence on the part of the Releases - including the failure to protect the participant from the risks, dangers and hazards of Mountain Biking or to negligence of other riders. Confirmation* I confirm the above. I agree that I shall never institute or cause to be instituted, any suit, charge, demand, complaint, or cause of action, in law, in equity, or otherwise, in any court, or in any arbitration system or procedure, against the Releases arising out of voluntary participation with Biking in the Bosch. I am aware of these risks, dangers and hazards associated with Mountain Biking and I freely accept and fully and voluntarily assume all such risk, dangers and hazards and the possibility of property damage and serious and/or permanent personal and bodily injury, including without limitation cuts, scratches, bruises, broken bones, sprains, full or partial paralysis, death, and any and all losses resulting there from. RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY PARTICIPANT/RIDER In consideration of my participation in Mountain Biking with Biking in the Bosch and my use of equipment, services and facilities, I hereby agree as follow: To waive any and all claims that I now have or may in the future have against the Releases and to release the Releases from any and all liability EVEN THAT WHICH IS DUE TO THE NEGLIGENCE OF THE RELEASES for any loss, damage, expense or injury including death, that I may suffer, INCLUDING BUT NOT LIMITED TO MOUNTAIN BIKING, WHILE PARTICIPATING IN ANY ACTIVITY OFFERED BY BIKING IN THE BOSCH, DUE TO ANY CAUSE WHATSOEVER, INCLUDING THE NEGLIGENCE OF RELEASES, NEGLIGENCE OF OTHER MOUNTAIN BIKERS, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, ON THE PART OF THE RELEASES, AND INCLUDING FAILURE ON THE PART OF THE RELEASES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF MOUNTAIN BIKING REFERRED TO ABOVE. To hold harmless and indemnity the Releases from any and all liability for any property damage or personal injury to any third party Participants participation in Mountain Biking or other activities offered by Biking in the Bosch. Confirmation* I confirm the above. In entering into this Agreement I am not relying on any oral written representations or statements made by the Releases with respect to safety of Mountain Biking, other than what is set forth in this Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I MAY HAVE AGAINST THE RELEASES. Confirmation*AgreeDisagreeEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.