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ASSUMPTION OF RISK, WAIVER OF LIABILITY, CONDITIONS OF PARTICIPATION AND HOLD HARMLESS AGREEMENT Notice: This entry and release form is a contract with legal consequences. Read it carefully before signing. In consideration of my being accepted as a participant in this event, I hereby freely agree to and make the following contractual representations and agreements: I acknowledge that cycling is an inherently dangerous sport and fully realize the dangers of participating in this bicycle event, and I fully assume all the risks associated with such participation. I understand these risks include, by way of example and not limitation, collision with pedestrians, spectators, vehicles, other riders, and fixed or moving objects; the dangers arising from surface hazards, equipment failure, inadequate safety equipment, and weather conditions; property damage or loss; the dangers of traveling to and from cycling events; and the possibility of serious physical and/ or mental trauma or injury associated with athletic cycling participation. I pledge to participate in this event in a safe, responsible manner, obeying all laws, civil and traffic and operate my bicycle with the utmost degree of care. I understand that I can be held liable for all injuries and property damage that I cause. I hereby waive, release and forever discharge for myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest (hereinafter collectively referred to as successors), any and all rights and claim, including those for negligence, which I have or which may hereafter accrue to me against Alta Alpina Cycling Club and their members, agents, representatives, sponsors, the California Triple Crown, States of California and Nevada, Counties of Alpine and Douglas, as well as government entities and private landowners whose property or jurisdiction is involved in these events, successors or assigns (hereinafter collectively referred to as Alta Alpina) for any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in this cycling event, including travel. I agree it is my sole responsibility to be familiar with the event conditions and rules, the course, and any special regulations for the event. I understand and agree that situations may arise during this cycling event which may be beyond the immediate control of Alta Alpina, and I must continually ride so as to endanger neither myself nor others. I accept sole responsibility for conditions and adequacy of my riding equipment. I will ride wearing an ANSI approved bicycling helmet that can protect against serious head injury, and assume all responsibility and liability for the selection of said helmet. I have no physical or mental condition, which to my knowledge, would endanger myself or others if I participate in this cycling event. I am physically able to participate in the event for which I have registered. I agree, for myself and my successors, that the above representations and agreements are contractually binding, and are not merely recitals, and hereby absolve and hold harmless Alta Alpina and, accordingly, that should I or my successors assert any claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by Alta Alpina in defending, unless Alta Alpina if finally adjudged liable on such claim for willful or wanton negligence. This agreement may not be modified orally. In addition, on occasion there may be photographs taken of me participating in this event either specifically or incidentally. I acknowledge and permit that all images of me can be used for promotional and advertising purposes for Alta Alpina and Alta Alpina events for no consideration. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLYUNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS AN ASSUMPTION OF RISK, WAIVER OR LIABILITY, AND HOLD HARMLESS AGREEMENT, AND THAT IT FORMS A CONTRACT BETWEEN MYSELF AND THE ALTA ALPINA CYCLING CLUB, AND I SIGN OF MY OWN FREE WILL. I UNDERSTAND THAT THE EVENT WILL TAKE PLACE RAIN OR SHINE AND IS SUBJECT TO THE RULES AND REGULATIONS POSTED AT altaalpina.org/challenge, AND THAT NO REFUNDS WILL BE MADE FOR ANY REASON WHATSOEVER.

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