LEAGUE OF AMERICAN WHEELMAM d/b/a LEAGUE OF AMERICAN BYCYCLISTS ("LAB) RELEASE AND WAVIER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMN= ITY AGREEMENT

KICKIN” ASPHALT BICYCLE CLUB RELEASE AND SIGN-IN FORM DATED_______________________.

LEAGUE OF AMERICAN WHEELMEN d/b/a LEAGUE OF AMERICAN BICYCLISTS ("LAB") RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

("AGREEMENT")

IN CONSIDERATION of being permit= ted to participate in any way in the “Kickin’ Asphalt Bicycle ClubR= 21; ("Club") sponsored Bicycling Activities ("Activity") I,= for myself, my personal representatives, assigns, heirs, and next of kin:<= /o:p>

1. ACKNOWLEDGE, agree, and represent = that I understand the nature of Bicycling Activities and that I am qualified, in g= ood health, and in

proper physical condition to participate in such Activity. I further acknowledge that the Activity will be conducted over public roads a= nd facilities open to the public during the Activity and upon which the hazard= s of travelling are to be expected. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activit= y.

2. FULLY UNDERSTAND that: (a) BICYCLING ACTIVITIES INVOLVE R= ISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARAL= YSIS AND DEATH ("RISKS"); (b) these Risks and dangers may be caused by= my own actions, or inactions, the actions or inactions of others participating= in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND = ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity.

3. HEREBY RELEASE, DISCHARGE, AND COV= ENANT NOT TO SUE the Club, the LAB, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, a= ny sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES= " herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOU= NT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; = AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, make= s a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLE= SS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.=

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURAN= CE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF A= LL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTI= ON OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

EMERGENCY

NON-MEMBER

AFTER RIDE

P= RINTED NAME

SIGNATURE

PHONE #

E-MAIL ADDRESS

CHECK-IN

Signature of Ride Leader_______= _______________________ &= nbsp; &nbs= p; &= nbsp; Address___________________= _____________________