Registration

Registration

Membership Type *

Calculations

Name of member(s) *

Street Address *

Apartment, suite, etc

City

Province

Postal Code

Country

Email Address *

Phone *

Cycling Skill Level *SeriousIntermediateCasualBeginner

I have read and agree to the waiver. *

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AND PARENTAL CONSENT AGREEMENT.

IN CONSIDERATION of being permitted to participate in any way in Cycle Stratford Inc. (the Club) sponsored bicycling activities (activity), I, for myself, my representatives, my assigns and heirs:

1. ACKNOWLEDGE THAT I UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THAT I AM QUALIFIED, IN GOOD HEALTH AND PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I further understand that this activity will be conducted over public roads and facilities upon which hazards are to be expected. I further agree that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.

2. FULLY UNDERSTAND that a) bicycling involves risks and dangers of serious bodily injury, including disability and death (risks). b) these risks and dangers may be caused by my actions or inactions, the actions of others or the conditions in which the activity takes place, or the negligence of the participants signing this agreement. c) other risks may include social or economic losses or other losses not foreseeable at this time, and I fully accept the responsibility of such losses.

3. HEREBY RELEASE, DISCHARGE, AND CONVENANT NOT TO TAKE LEGAL ACTION against the Club, its directors, agents, administrators, members, officers, or volunteers or sponsors of the Club, from all liability, claims, demands, losses or damages on my account, caused or alleged to be caused by the Club or its officers, members or directors.

I am aware that my participation in Club activities does not provide me with any disability, accident, medical or life insurance.

I agree that I understand the Rules and Regulations of the Club, including its Ride Ahead Policy and Harassment Policy (see cyclestratford.ca) and agree to abide by these documents. I also agree that the Club may prohibit my participation in any program for inappropriate behavior or failure to abide by the rules.

4. I understand photos may be taken during club rides, events and socials. Cycle Stratford has my permission to use such photos on social media, website and marketing materials. If you do not wish for your photo to be taken, please contact the Cycle Stratford club at cyclestratford@gmail.com

Name of Parent if under 18 years of age

Please do not fill in this field.