Mohican 100 Mountain Bike Race – Waiver
Posted on: 27 Oct 2012

Mohican MTB 100 State Park and Forest WAIVER AND LIABILITY RELEASE

Please Bring a signed copy to race registration and packet pickup

 

(Please print all information except signature to allow for more accurate records) NAME:________________________________________________________ ADDRESS:_____________________________________________________ CITY:_________________________________________________________ STATE:___ ZIP__________ DATE_________ __MALE __FEMALE AGE____ E-MAIL ADDRESS_________________________________________

WAIVER

I, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, voluntarily assume all risks of accident or injury and release and forever discharge the State of Ohio, Ohio Department of Natural Resources, and its employees, officers and agents, from any and all liability for personal injury or property damage of any kind sustained at Mohican State Park and/or Mohican Memorial State Forest during the Mohican MTB 100 event held on June 1, 2013 whether such personal injury or property damage is caused by negligence of the State of Ohio, Ohio Department of Natural Resources, or its employees, officers, or agents or otherwise. I further covenant and agree to indemnify and hold harmless the State of Ohio, and the Ohio Department of Natural Resources, its employees, officers, and agents, from all loss and expense, including but not limited to, damages, legal expenses, and cost of defense, in any manner arising from my use of the State Park and/or State Forest.

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Participant (signature)

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Participant (name printed legibly)

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Parent or legal guardian (signature) if participant in under 18 years of age

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Parent or legal guardian (name printed)

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