SARANAC LAKE TANDEM RALLY - SLTR 2015

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SARANAC LAKE TANDEM RALLY, 1 Dahinda Rd, Saranac Lake, NY 12983
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Waiver - Release from Liability

I do hereby (for myself, my heirs, and executors) waive all rights and claims for damages which I may have against, and release and indemnify, the Saranac Lake Tandem Rally (SLTR) committee, Gear To Go, Inc., Richard Shapiro, Melinda Ellis, and/or any other personnel associated with the SLTR, of and from any and all such liabilities, claims, actions, damages, costs or expenses, including, but not limited to attorney's fees and disbursements relating to or arising out of my participation in the Saranac Lake Tandem Rally.I accept the risk of bicycle touring and do hereby agree that I participate in this event at my own risk. I understand that this release and indemnity agreement includes any claims based on the negligence, action, or inaction of any of the above released parties and covers bodily injury and property damage,suffered by me, during, or after the rally.If I should suffer injury or illness, I authorize the officials of the ride to use their discretion to administer first aid and/or have me transported to a medical facility, and I take full responsibility for this action. I attest and verify that I am physically fit and hereby grant full permission to use any photographs of this event for any purposes whatsoever.

I have read and understand the above release and indemnity.

Print Name __________________________________________________________________

Signature ______________________________________________     Date  __________

Print Name __________________________________________________________________

Signature ______________________________________________     Date  __________

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Parent/ Guardian Waiver - Release from Liability

(If participant is under 18 years of age, the parent(s) or guardian(s) must execute
in addition to the above, the following waiver:) The undersigned, _________________________________________________________________________, referred to as the parent(s) and natural guardian(s) or legal guardian(s) of _________________________________________________________________________,
does thereby represent that he/she (they) is (are), in fact acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties listed above from all liabilities, claims, actions, damages, costs or expenses, including, but not limited to attorney's fees and disbursements relating to or arising out of my participation in the Saranac Lake Tandem Rally.
Signature _____________________________________________________________

Relationship to minor(s)  _____________________________________________

Signature  ____________________________________________________________	

Relationship to minor(s) ______________________________________________
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