Wavier

I realize that there are dangers in outdoor activities and that mortal or serious personal damage and property damage may occur. I assume Full responsibility for the risk of personal injury, death, and property damage due to the negligence or carelessness of the parties released by this document. On my own behalf and on behalf of my heirs, personal representatives and assigns, I hereby release the 15 OWS Booster Club, The 15 OWS, Scott AFB, the USAF, the DoD, all advertisers of this event, and all of their officers, directors, employees, and volunteers.

(“the released parties”) for all claims, or rights to claim compensation for any loss or injury which I may sustain as a result of negligence, carelessness, or any cause whatsoever, whether loss or injury occurs while participating in, going to, or coming from such activity. Further, I agree to indemnify and hold the parties released by this document harmless from any such claims or demands. I expressly agree that this release and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Illinois and the Dept of Defense, and that if any portion hereof is held invalid, the remainder shall continue in full force and effect. I agree to follow all the laws of the road which apply to cars and bicycles in the state of Illinois and the Dept of Defense.  I agree to wear a bicycle helmet, and required safety equipment during this event.

Signature:______________________  Date:__________________

Rider/Runner/Walker #1 Name:______________________________

Address or Unit:__________________

Contact Phone #:_______________________ Email:_____________________________

Age:____________(must be at least 12 yoa to ride alone)  Paid:    Yes/No

Signature:______________________  Date:__________________

Rider #2 Name:______________________________ Address or Unit:__________________

Contact Phone #:_______________________ Email:_____________________________

Age:____________(must be at least 12 yoa to ride alone)  Paid:    Yes/No