Wee Wheels Assumption of Risk, Release of Liability

Wee Wheels Assumption of Risk, Release of Liability, Covenant Not to Sue and Indemnity
Agreement In consideration of Wee Wheels (Wee Wheels, LLC ) allowing me to participate in a
Wee Wheels, LLC events, and all activities related to or connected with an event, including
travel to and from an event (collectively an “Event”), whether as a rider, official, coach,
mechanic, volunteer, spectator, or otherwise, I, for myself, my spouse, children, guardians, heirs
and next of kin, and any legal and personal representatives, executors, administrators,
successors and assigns, hereby agree as follows:
1. Assumption of Risk. I am aware that cycling and/or participation in an Event, involve inherent
risks, including but not limited to collision with pedestrians, vehicles, other participants, animals,
and fixed or moving objects; imperfect course conditions; surface hazards, including potholes;
equipment failure; inadequate safety equipment; use of equipment or materials provided to me
by others; those associated with man-made and natural jumps; sickness or disease (including
communicable disease); and weather conditions. I fully understand that participating in an Event
is an extreme test of a person’s physical and mental limits and may involve the risk of serious
injury or death, economic loss, property damage or loss that may result from my actions,
inactions or negligence, and also from the actions, inactions or negligence of others.
2. Release of Liability. I hereby forever release, waive, and discharge Wee Wheels, LLC , Wee
Wheels Development Foundation and each of their respective officers, directors, agents,
employees, volunteers, independent contractors, members, clubs, officials, event directors, local
associations, sponsors and affiliates as well as the UCI, sponsors, organizers, property owners,
law enforcement agencies, local governments, and other public entities, connected with an
Event, and each of their respective officers, agents, employees, and volunteers (collectively,
“Releasees”) from any claims that may arise out of or are related to my participation in an Event,
including claims arising from the ordinary negligence of Releasees.
3. Covenant Not to Sue and Indemnity Agreement. I will not make any claim against Releasees
for injury, damage, death, or any other loss arising from or related to my participation in the
Event. I understand that if I attempt to sue Releasees in violation of this agreement, Releasees
may seek to recover all of their costs, including legal fees. I agree to indemnify, hold harmless,
and defend Releasees from and against any actions, causes of action, claims, charges,
demands, losses, damages, costs, attorney’s fees, judgments, liens, indebtedness, and
liabilities of every kind, whether known or unknown, including foreseen or unforeseen bodily
injury and personal injuries and property damage that may be sustained by me or any other
person in any way connected to, related to, or arising out of my participation in the Event.
4. Health. I represent that I am in good health and proper physical condition to participate in an
Event safely. I acknowledge that it is my sole responsibility to make such determination and that
I am responsible for my well-being at all times while participating in an Event. If I suffer any
injury related to or arising from an Event, I consent to the release of my name and medical
information by any third party to Releasees and their insurance carriers.
5. Rules; Regulations; Equipment. I agree to be familiar with and abide by the rules and
regulations established for an Event. I also agree that I am subject to, and shall abide by, the
competitive rules, regulations, policies, and Code of Conduct adopted by Wee Wheels, LLC as
amended from time to time. I agree to ride and participate to neither endanger myself nor
others. I accept responsibility for the condition and adequacy of my equipment and any
equipment provided by others for my use. I will wear a helmet that complies with Wee Wheels,
LLC rules and regulations, and I assume all responsibility for the selection of such a helmet.
6. Use of Information. I understand that Wee Wheels, LLC may collect or receive my contact
information in connection with this agreement, and use it to administer this agreement and for
marketing purposes. I further acknowledge, agree and consent that (a) Wee Wheels, LLC and
its designees may share this information with third parties who need access to this information
to perform services on Wee Wheels, LLC ’s behalf, (b) Wee Wheels, LLC may also share this
information with select marketing partners, and (c) Wee Wheels, LLC and its select marketing
partners may use this information to contact me with information and offers believed to be of
interest to me. 8. Media Grant. I irrevocably grant and license to Wee Wheels, LLC and its
affiliates, the right to capture and use my image, likeness, name, voice, comments or other
proprietary or public rights in any broadcast, telecast, photograph, video, or audio sound
recording taken in connection with an Event, without compensation, for all purposes, including
any commercial use so long as such use does not imply my endorsement of any company,
product or service.
9. Governing Law; Jurisdiction; Severability. This agreement shall be governed by and
construed under the laws of Virginia, without regard to its choice of law rules. Each party
irrevocably submits to the exclusive jurisdiction of such courts in any such suit, action or
proceeding. If any provision of this agreement is invalid, illegal, or unenforceable in any
jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other provision of
this agreement or invalidate or render unenforceable any other provision in any other
jurisdiction. I have carefully read the preceding and understand its terms. I attest that I am 18
years of age or older (19 if in Alabama). I know that I am giving up substantial rights, including
my right to sue Releasees for injuries resulting from the inherent risks of cycling and the
ordinary negligence of Releasees. I acknowledge that I am signing this agreement freely and
voluntarily. I intend my signature to be a complete and unconditional release of all liability to the
greatest extent permitted by law.
10. Concussion Awareness and Education: We are committed to raising awareness about
concussions among our participants, parents, and legal guardians. We provide educational
materials and resources to inform you about the signs and symptoms of concussions and the
potential risks associated with the activities in which you or your child may participate. If any
participant, parent, or legal guardian suspects a concussion has occurred during our activities, it
is their responsibility to immediately report it to a coach, staff member, or appropriate authority.
We take all suspected concussions seriously and will follow a strict protocol for evaluation and
management. In the event of a suspected concussion, the participant will be immediately
removed from the activity and will not be allowed to return until evaluated and cleared by a
licensed healthcare provider. Wee Wheel, LLC ooperates under a “No-Fault” policy, meaning
that no participant will be penalized or stigmatized for reporting a suspected concussion. Safety
and well-being are our top priorities. To participate in our activities, all participants, parents, and
legal guardians are required to read and sign the attached Liability Waiver. By signing this
waiver, you acknowledge that you understand the risks associated with concussions, have
received the appropriate education, and agree to release Wee Wheel, LLC from any liability for
injuries related to concussions, to the fullest extent permitted by law.
11. Consent for Emergency Medical Treatment: In case of an emergency, if you or your child is
unable to provide consent, we request permission to obtain necessary medical treatment for any
injury, including concussions, and release any necessary medical information to authorized
medical professionals.
By participating in our activities and signing the attached Liability Waiver, you agree to the terms
and conditions outlined in this Concussion Policy Statement. This document is designed to
protect your safety, and we appreciate your understanding and cooperation in ensuring the
well-being of all participants.
PARENTAL / LEGAL GUARDIAN CONSENT I attest that I am the parent or legal guardian of
the minor participant named. I have carefully read the foregoing and agree to all of the terms.
Name of Participant_________________________________
Printed Name of Parent/Guardian ___________________________________________
Signature of Parent/Guardian _______________________________________________
Date___________
Date of Birth ___________