Bike Safety Rodeo Registration

Please complete the form below.  Pre-Register by March 10th to be sure your child get's a shirt!

Name *
Name
Child's Name *
Child's Name
50/50 Cotton Blend
Address *
Address
Phone *
Phone
Agreement to Terms of Release *
By checking this box you agree that you have read and agree to the terms listed below.

Raymore Bicycle Rodeo Release Agreement
Bicycle Rodeo // 100 Municipal Circle, Raymore Mo. //March 23,2018
TO PARTICIPATE IN THE BICYCLE RODEO AT 100 MUNICIPAL CIRCLE (“Activity”), THE
UNDERSIGNED AGREES TO THE FOLLOWING CONDITIONS WITH THE CITY OF RAYMORE
(“The City”) AND DAVE’S BIKE SHOP (“Our Partner”):
1. THE UNDERSIGNED HEREBY RELEASES, THE CITY OR DAVE’S BIKE SHOP OR
SPONSORS INCLUDING BUT NOT LIMITED TO THOSE MENTIONED AT THE ACTIVITY,
OR ANY EMPLOYEES, OFFICERS AND AGENTS OF THESE GROUPS (hereinafter
referred to as “releasees”) FROM ALL LIABILITY to the undersigned, his or her
personal representatives, assigns, heirs, and next of kin for any loss, damage, or
claim therefore on account of injury to the person or property of the undersigned,
whether caused by any negligent act or omission of the releasees or otherwise while
the undersigned is participating in the activity
2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS the
releasees from all liability, claims, demands, causes of action, charges, expenses,
and attorney fees (including attorney fees to establish the releasee’s right to
indemnity or incurred on appeal) resulting from involvement in this activity whether
caused by any negligent act or omission of releasees or otherwise.
3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF
BODILY INJURY, DEATH OR PROPERTY DAMAGE while participating in the activity
whether caused by any negligent act or omission or releasees or otherwise. As a
consequence thereof, knowing the risks of bicycle rodeos, nevertheless, the
undersigned agrees to assume full responsibility for those risks.
4. The undersigned expressly agrees that the foregoing release and waiver, indemnity
agreement and assumption of risk are intended to be as broad and inclusive as
permitted by Missouri law and in the event that any portion thereof is held to be
void, voidable or unenforceable, the remaining portions shall remain in full force and
effect.
5. The undersigned further acknowledges that he/she has read the foregoing, has been
fully and completely advised of the potential dangers incidental to engaging in the
activities, is fully aware of the legal consequences of signing this release, including
that the undersigned releases, indemnifies, and hold harmless the releasees from
liability for personal injury, property damage or wrongful death as a result of
participant’s participation in the activities. I further acknowledge that no oral
representations, statements or inducements have been made.
IF THE PARTICIPANT IS A MINOR, his or her custodial parent or legal guardian
must read and execute this agreement. I hereby warrant that I am the legal
guardian or custodial parent of_above named child__ who is a
minor, and agree, on my own and said minor’s behalf to the terms and conditions
of this release agreement.