| Cancellation Policy
per person:
Before April 1st: 100% refund, minus $50.00
April 1st-May 1st: 100% refund, minus $60.00
May 1st- June 1st 100% refund, minus $75.00
After June 1st, the maximum refund will be equal to the total returned
by motels and restaurants to PAW.
NOTE: If you have a roommate, the private room
fee of $275 (plus $44 for pre-room) will be assessed, in addition to these
cancellation fees, if no replacement can be found.
Please complete registration form, read
and sign waiver, and enclose minimum 50% deposit. Checks should be made
out to: ‘Pedal Across Wisconsin, Inc.’ Sorry, we do not take
credit cards.
If you have any questions, please contact Dr. J. Pedal at 847-707-6888
or email him at drjpedal@sbcglobal.net
Pedal Across Wisconsin, Inc. Release and Waiver
of Responsibility
In signing this release, I acknowledge that I
understand the nature of the Pedal Across Wisconsin, Inc. tour (‘activity’)
and that it is a potentially hazardous event, and attend it of my own
free will and choice. In choosing to attend Pedal Across Wisconsin, Inc.’s
activity and any related events or activities, I fully assume all risks,
whether before, during or after the Pedal Across Wisconsin, Inc. activity
or related activities. These include, without limitation, collision with
pedestrians, vehicles, other riders, sponsors, promoters, or drivers,
and dangers arising from falls, camping, theft, road surface, equipment
failure, inadequate safety equipment, weather conditions, as well as the
possibility of physical and/or mental trauma, mental injury, emotional
stress, serious bodily injury resulting in disability, death and paralysis.
I realize Pedal Across Wisconsin, Inc. activities require physical conditioning,
and I represent myself that I am in sound medical condition, capable of
participating without risk to myself and others. I have no medical impediment
that would endanger myself or others. I waive any and all specific notices
of risks. I agree that maps, directions, leaders and road markings are
provided for my convenience only, and not to guarantee a safe route or
trip. I understand and agree that a situation may arise during the Pedal
Across Wisconsin, Inc. activity which may be beyond the control of the
sponsors, promoters, or organizers, and agree to participate so as not
to endanger myself and others.
I understand that any route or activity chosen as part of our outdoor
adventure may not be the safest, but has been chosen for the interest
or challenge provided. I understand the route requires bicycling on public
roadways, and in bad weather, and that cyclists have been hospitalized
and/or killed because of accidents that are either their responsibility
or the responsibility of someone else. I further agree that I will bear
and assume all expenses incurred in any accidents, illness, or loss of
any kind. I further agree and warrant that if, at any time, I believe
conditions to be unsafe, I will immediately discontinue further participation
in the activity. I hereby consent to and permit emergency treatment in
the event of injury, illness or death.
I give full permission for use of my name and photograph, motion pictures,
video tape, recording, written comments or opinions, or other records
of this event for any legitimate purpose. Pedal Across Wisconsin, Inc.
reserves the right to decline accepting or retaining any tour participant
whose health or actions impede the operation of the tour, or welfare of
other tour participants. An approved (ANSI or Snell or equal) helmet is
strongly recommended for use by all participants while riding bicycles.
I agree to the terms and conditions of the Pedal Across Wisconsin, Inc.
cancellation policy. I park my vehicle at my own risk and acknowledge
the safe-keeping of my bicycle as my responsibility.
I have read this agreement, fully understand all the terms it contains,
and understand that I have given up substantial rights by signing it freely,
and without any inducement or assurance of any nature, and intend it to
be a complete and unconditional release of all liability to the greatest
extent allowed by law, and agree that if any portion of this agreement
is held to be invalid, the balance notwithstanding, shall continue to
be in full force and effect. Any action to interpret or enforce it shall
be brought in Kane County, in the State of Illinois.
The foregoing understood and agreed, I hereby release and waive any and
all claims against Pedal Across Wisconsin, Inc. sponsors, workers, volunteers,
organizations, schools, businesses, and any other parties connected with
this event in any way (‘releasees’) singularly or collectively,
and further hold harmless and indemnify such releasees from and against
any liability, claims of negligence, misadventure, harm, loss, inconvenience,
or damage hereby suffered or sustained as a result of participation in
the Pedal Across Wisconsin, Inc. tour, or any other activity associated
herewithin. Such release, waiver, hold harmless and indemnity shall apply
to my own claims and/or claims of third parties, relating to my participation
in this event. I waive, release, discharge for myself, my heirs, executors,
administrators, legal representatives (including successors) any and all
rights and/or claims which I have, may have, or may hereafter accrue to
me against the sponsors and promoters of Pedal Across Wisconsin, Inc.
or other sponsors or affiliated organizations and their respective agents,
officers, and employees for any and all damagers, injuries or claims which
may be sustained by me directly or indirectly arising out of my participations
in Pedal Across Wisconsin, Inc. I agree to abide by the rules of the road
and certify that I have read the Pedal Across Wisconsin, Inc. safety letter
and agree with the advice and procedures therein.
The undersigned acknowledges having read and agreed to the terms of the
foregoing Release and Waiver of Liability agreement.
EACH PARTICIPANT MUST SIGN A SEPARATE WAIVER
_______________________________________________
Signature of Adult Participant
Date
______________________________________________________
Printed Name
______________________________________________________
Or, the following signatures if rider is a minor (under age 18): Parent
or guardian must be on ride.
______________________________________________________
Signature of Minor
Date
______________________________________________________
Printed Name of Minor
______________________________________________________
Signatures of both parents (or guardian) Date
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