2021 Bike Around the Bay Committee Waiver
SAG, Motorcycle Marshals, Medics, HAM Radio Operators, etc. please fill out and submit this form by Monday, October 18 2021.
Address Line 2
State / Province / Region
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Emergency Contact Name
Emergency Contact Phone
Which group are you with?
HAM Radio Operators
Other (please describe below)
If you selected "other" above, please describe
Please select your t-shirt size preference (all sizes are adult sizes)
In voluntarily signing this release, I acknowledge that I understand its intent, and for myself, my heirs, executors, administrators and representatives, do hereby agree and ABSOLVE, WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS AND PROMISE TO IDEMNIFY AND NOT TO SUE the Galveston Bay Foundation (GBF), its officers, staff, trip organizers, leaders, instructors, GBF members or guests, and any other parties connected with the GBF in any way from and against any blame and liability for any loss of life, injury, harm, inconvenience, or any other damage of any kind whatsoever, whether it is caused by myself or by the negligence, in whole, or in part, of the Galveston Bay Foundation, its staff, volunteers, or any other persons or entities associated with this activity. Furthermore I assume all risks from all liability including any negligent acts or omissions and any intentional act meant to promote my safety or well-being.
I hereby represent that: (1) I understand there are certain dangers, safety hazards and risks inherent in outdoor field activities, which include but are not limited to, loss of life, personal injury, and loss or damage to personal belongings and equipment due to wind, waves, weather, sudden and unexpected immersion in deep waters, collision with other watercraft or stationary objects such as docks, pilings, buoys, and other conditions; (2) I am physically able to participate in this activity, and possess the skill and competence to participate safely; (3) any personal equipment I may use to participate in this event is in good working condition; (4) I will conduct myself in a safe and prudent manner while participating in the activity; (5) I have been informed of the prerequisite skill level required for this activity; and (6) I hereby absolve and hold harmless the GBF and any other parties connected with the GBF in any way, from any damage I may sustain because of any breach of these representations. I hereby consent to and permit emergency treatment in the event of injury or illness while participating in the activity and I agree to assume all financial responsibility for such treatment.
I grant the Galveston Bay Foundation the right to photograph, record, broadcast, and otherwise use in any media, including web pages or the internet, my performance in GBF activities and to use my name, likeness, voice, and biographical information concerning me in connection therewith.
NOTICE FOR VOLUNTEERS UNDER 18:
All participating minors (under the age of 18) must be accompanied by a parent or legal guardian. The parent or legal guardian must sign this form and list the names of all of their participating minors below. By listing the names of your minors below, you agree that those minors are included in this waiver of liability and release.
I certify that I have read, understand, and agree to the legal consequences of this Waiver and Release Form.
Use your cursor to sign your name on the line above. If you have touch screen capability, you can use your fingertip or a stylus to sign.
Please list the full names of all participating minors (under age 18) who you represent as their parent or legal guardian (enter "0" if you do not have participating minors). By listing the names of your minors below, you agree that those minors are included in this waiver of liability and release.
Questions or Comments