Activity Questionnaire
Arizona Bicycle Club has requested that its customers provide the following information to better help it fulfill your order. Required questions must be answered in order to complete your order.
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RELEASE AND WAIVER:
I hereby waive and discharge all claims, actions and causes of
actions by me, my heirs, executors and administrators against the Arizona Bicycle Club (ABC) and its officers, directors, chapters, sponsors and sponsoring municipalities, organizations and any others connected with any ABC event, for any injury,
harm or death, damages, loss or inconvenience sustained as a result of my participation in any ABC event, or any activities associated therewith.
I am aware of the inherent risks in
participating in a bicycling event, and I assume all responsibility for my own safety. I understand that ABC requires bicycle helmets to be worn by all participants in all ABC events
while operating bicycles and that there is no exception to this
requirement. I agree to wear a bicycle helmet at all times during ABC bicycle events when I am riding a bicycle. I agree to obey all traffic laws at all times during any ABC event.
I also consent to and permit emergency medical treatment in the event of injury or illness. I also give full permission for the use of my name and photograph in connection with an
ABC event.
TO SIGNIFY AGREEMENT TO THIS RELEASE TYPE YOUR NAME BELOW.
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Is this a new membership or are you renewing?
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Hold down the "Ctrl" key to select multiple responses.
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