LHT Trail and Treat Sun., Oct. 25, 2015 from 4-6 p.m.
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Participant Agreement and Release
You may register yourself and/or 4 others with this form if you are the parent or guardian of those under 18 years of age. If you need to register a 5th or more participant(s), please complete a 2nd form.
Participant #1 / Parent or Guardian of Those Under 18 Years of Age Below
In consideration for being permitted to participate in the LHT Trail and Treat Ride, I hereby freely acknowledge that there are inherent dangers in participating in this event, and I fully assume the risks associated with such participation including, without limitation, all injuries that may occur as a result of: (a) my use of the trails and other park amenities;(b)bees, ticks, or other insects; (c) poison ivy or other potentially harmful plants; (d) roots, holes, tree limbs and other hazards, natural or manmade;(e) riding in conditions of reduced lighting and darkness; (f) the negligence of the Mercer County Park Commission and/or the Lawrence Hopewell Trail Corporation, a New Jersey nonprofit corporation ("LHT") or LHT's officers, trustees, volunteers, affiliates, employees, agents, representatives, successors, or assigns (collectively with LHT, the "Released Parties"), or (g) weather conditions. I acknowledge that supervision of this activity is not provided and I am responsible for my conduct and for that of any minor (person under 18 years of age) I permit to participate in this event, including but not limited to wearing a helmet designed for bicycle activity. Further, I hereby waive, release, discharge, and hold harmless the Released Parties from any and all rights, causes of action, and claims including claims arising from the released parties' own negligence to the maximum extent permitted by law, which I have or which may hereafter accrue to me and from any and all damages that may be sustained by me directly or indirectly in connection with or arising out of my participation in or association with this event or travel to or return from the event. Further, I hereby voluntarily give up and waive any right that I may otherwise have to bring a legal action against the Released Parties for personal injury or property damage. I grant to the Lawrence Hopewell Trail Corporation and/or the Mercer County Park Commission, the right to take photographs or videos of me and my family in connection with the above-identified event. I authorize the Lawrence Hopewell Trail Corporation and/or the Mercer County Park Commission, their assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that the Lawrence Hopewell Trail Corporation and/or the Mercer County Park Commission may use such photographs or videos of me and my family with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. This Agreement sets forth the entire agreement between myself and the LHT and the Mercer County Park Commission and supersedes any and all prior agreements and understandings. This Agreement shall inure to the benefit of and be binding upon and enforceable against my heirs, legal representatives and assigns and the successors and assigns of the Released Parties. If any portion of this Agreement shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this Agreement shall remain in full force and effect and the offending provision or provisions severed here from. This Agreement shall be governed and construed for all purposes in accordance with the Laws of the State of New Jersey. This Agreement is a contract with legal and binding consequences. I have read it carefully before signing and I understand what it means and what I am agreeing to by signing. Donations Appreciated. The Lawrence Hopewell Trail is a non-profit corporation event run by volunteers. The use of the LHT is free to everyone. Your tax-deductible donation helps defray operating expenses of the LHT and ensure our ability to provide events in the future. *
MY INITIALS HERE REPRESENT MY SIGNATURE
I am... *
Choose the FIRST OPTION if you are also riding. Choose the SECOND OPTION if you are not riding but giving permission for those under 18 years of age to ride.
Required
Your Age *
First Name *
Last Name *
Street *
City *
State *
Zip Code *
xxxxx
Email Address
Telelphone Number
xxx-xxx-xxxx
How did you hear of the Trail and Treat Ride? *
Required
Participant #2
Age
First Name
Last Name
Town
Participant #3
Age
First Name
Last Name
Town
Participant #4
Age
First Name
Last Name
Town
Participant #5
Age
First Name
Last Name
Town
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