2007 Waiver & Release of Liability

I have reviewed the Divas For A Cure ("DFAC") website and understand it's mission and purpose. I understand this run is an organized event with an Official DFAC Published Route & Itinerary. I understand that the sole purpose of this event is to promote early detection, breast cancer awareness, while raising funds for breast cancer research. I also understand that as a participant I will be riding under extreme weather conditions for long periods of time. This event is strictly voluntary and no compensation will be given to me for my participation.

I agree to abide by DFAC and IRS fundraising guidelines. All donations must be made payable to Divas For A Cure in the form of a personal check, cashier check, money order, wire transfer or by credit card online. Riders are not allowed to solicit cash donations. Cash donations can only be received at an Official Divas For A Cure Event and must be receipted by a Member of the DFAC Board of Directors or authorized Staff.  Only receipts issued by DFAC will qualify the donor for a tax deduction.

In consideration of the acceptance of my registration request and/or participation in the Divas For A Cure Cross Country Breast Cancer Motorcycle Run - Summer 2007, operated under the management of DFAC, the sponsors, and contract entities, I hereby release all liability from said parties and I assume all liability for any and all claims and actions of any kind for personal injuries, bodily injury, death and/or property damage which might occur during the event or during my travel to and from the event. I agree to pay any and all costs including attorney's fees that may be incurred by the above entities as a result of any such claim. I also agree that any legal claim, can only take action in Oakland, California.

I hereby consent to receive medical treatment which may be deemed necessary in the event of an accident or medical emergency during this event and understand that I am solely responsible for all cost related to medical treatment, medical transportation and/or evacuation.

I hereby agree that if the event is canceled due to storm, rain, inclement seas, wind or other "Acts of God" conditions, my entry fee shall be non-refundable. I understand that all entry fees are non-refundable and nontransferable.

I attest and verify that my vehicle/motorcycle is in good working order and meets the minimum requirements as set forth by the DFAC Organizers. I also attest that I am in good health and adequately trained and licensed to participate in this type of event. I hereby acknowledge that I have sole responsibility for my personal possessions and equipment during the event or its related activities. I hereby grant to any and all of the foregoing the use of any photograph, videotape, motion picture or any other record of this event for any purposes whatsoever including broadcasts, telecasts, internet and the press as they pertain to the event.

I have read the Rules of the Road as published on the DFAC Official Website. I understand and agree to cooperate with the Official DFAC Designated Organizers. If I fail to do so, I will be dismissed from the event without refund and/or compensation.

I FURTHER FULLY UNDERSTAND THAT THERE IS NO RIDER INSURANCE PROVIDED FOR THIS EVENT, THEREFORE DRIVERS/RIDERS MUST CARRY THEIR OWN ACCIDENT INSURANCE.

I have read and fully understand and agree to this release, waiver and indemnification form.

Signature:_____________________________ Date:________________________

Print Name: __________________________________________

Address: _____________________________________________

City: ____________________ State: ________ Zip: _________

Phone Number:______________________________

Driver's License #:_______________________________ State: _______________

Note:
Every rider including driver and passenger must sign an individual waiver and release form. Print & Fax this Waiver & Release Form to: 866-850-4461



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