Image                                                       Non-member Waiver Form  

LANGLEY ROADRIDERS MOTORCYCLE CLUB

In order to participate in a ride or other event with Langley Roadriders Motorcycle Club you MUST sign this waiver .

Release of Liability, Waiver of Claims, and Assumption of Risk Agreement  

Riders participating in rides or other must have valid motorcycle license endorsement.

Riders are required to ride responsibly and obey all rules of the road.

Please read carefully!

I am aware that riding a motorcycle involves risks, dangers and hazards in addition to those normally associated with the operation of motor vehicles. I acknowledge and accept the risks, dangers and hazards that group riding may include, my failure to drive safely or within the limits of my own ability, and the negligence of other motorcycle or motor vehicle drivers.

In consideration of whether I am a member of Langley Roadriders Club or not, at the date of signature I appreciate them allowing me to participate, and I hereby agree as follows:

1. To waive any and all claims that I have or may in the future have against the Organizers, directors, officers, members, ride leader of LANGLEY ROADRIDERS MOTORCYCLE CLUB and representatives of whom are hereinafter collectively referred to as the Releasees. arising out of any aspect of my participation in the group rides and other events.

2. To release the Releasees from any and all liability for any loss, damage, expense or injury,

including death, that I may suffer or that my next of kin may suffer as a result of my

participation in the Langley Roadriders group ride due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on the part of the releasees.

3. By signing this release, I am not releasing my rights to pursue the releasees provided it is within the scope of coverage under ICBC for an accident caused or contributed to by the releasees

4. I understand that photographs may be taken throughout any event and may be used for club purposes and on the web page. These photographs belong to  Langley Roadriders Motorcycle Club  and the person taking the pictures.

5. I confirm that I am of the full age of 19 years and 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 or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releases.

EVENT/RIDE PARTICIPANT SIGNATURES:

Signed this _______day of ________________________________ 2013

Print Name:_______________________________   Signature___________________________________________    

 Print Witness Name:_________________________________Signature Witness.___________________

Print Name of   passenger (or parent/legal guardian of minor):    _____________________                      Signature of pasenger or Legal Guardian __________________________Minor's Name_________________________


(this part is optional)

Incase of emergency     Date of Birth:________________  

Person to contact in case of emergency: ___________________________  Phone:______________________   Cell:_______________

2nd person to contact:  ________________________________________  Phone_______________________ Cell: ___________________

Medical conditions: 1st per  _______________________________Alllergies_____________________________

Dr: Name  _____________________________  Dr. Phone:____________________________

 

                       

 

 

updated Dec.30-12