assume all risks, including minor injuries, major injuries and catastrophic injuries, including death, arising in any wa
RELEASE AND INDEMNIFICATION AGREEMENT I understand that Heart Across America involves strenuous physical activity associated with bicycling short and long distances over the course of long periods of time. Riding and other physical activities along the ride include risks such as, but not limited to, interaction with other participants, effects of weather, traffic and conditions of surfaces on which I ride, falls, collisions, injuries and even death. In consideration of being allowed to participate in this event, I hereby expressly assume all risks, including minor injuries, major injuries and catastrophic injuries, including death, arising in any way out of my participation in Heart Across America and related activities. I further assume all risks of contact with other participants and volunteers, negligent or wanton acts of other participants and volunteers, any defects or conditions of road surfaces, including wet or muddy road surfaces, gravel or unpaved surfaces, failure of other participants, vehicles or individuals to observe traffic signals or laws, and the effects of weather, including rain, heat or cold, severe weather, thunderstorms, lightning and high winds. Additionally, I agree to follow all laws, regulations, as well as rules and safety procedures that are required by Heart Across America; that any decision made by a Heart Across America official will be final, including any decision regarding my right to ride or continue to ride in this event; and to dress appropriately based on my needs related to bicycling, including proper shoes, clothing and a helmet that satisfies Consumer Product Safety Commission (“CPSC”) standards throughout the time I am riding in Heart Across America. Although route maps, rest stops, refreshments and other assistance may be made available during this event, I am solely responsible for my own health and safety. I represent and warrant that I am physically fit and able to participate in this event, and I agree to stop and request assistance if I experience any symptoms such as, but not limited to, dizziness, excessive fatigue, shortness of breath, pain or any other conditions that would make it difficult or unsafe to continue. If I am injured at any time throughout the Heart, I agree that emergency medical care and transportation may be provided as deemed necessary and that this Release extends to any liability arising out of or in any way connected with the medical treatment and transportation provided in the event of an emergency, including, but not limited to, negligent emergency rescue operations. I authorize Heart Across America to use, reuse, publish, republish or reproduce my name, image or voice while participating in Heart Across America and related activities, as may be captured by photograph or recording in any medium, including illustration, promotion or advertisement, without restriction, for any purpose. I agree, for myself, my heirs, executors and administrators, to not sue and to release, indemnify and hold harmless, Heart Across America and the American Heart Association, Inc., its officers, directors, volunteers and employees, and all businesses and organizations sponsoring Heart Across America and their respective agents and employees, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in Heart Across America, whether during a bicycle ride or between or after rides, and other related activities — whether it results from the negligence of any of the above or from any other cause. This release and indemnification Agreement shall be as broad and inclusive as permitted by the state or province in which the event is conducted. If any portion of it is invalid, the balance shall continue in full force and effect. I have read, understand and agree to the terms of this Agreement. By: ____________________________________________________________ Print Name: _____________________________________________________ Date: __________________________________________________________ Contact Information: ______________________________________________ _______________________________________________________________ Emergency Contact Name and Information: ____________________________ _______________________________________________________________
