I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, THAT I AM RELEASING THE UNITED STATES CYCLING FEDERATION, INC., USA CYCLING, INC., NATIONAL OFF ROAD BICYCLE ASSOC., BEECH FORK STATE PARK, HUNTINGTON BICYCLE CENTER, NATIONAL COLLEGIATE CYCLING ASSOC., AND PRO CYCLING, AND THEIR MEMBERS, SPONSORS. PROMOTERS, VOLUNTEERS AND AFFILIATES (COLLECTIVELY "RELEASEES") FROM LIABILITY. THIS ENTRY BLANK AND RELEASE IS A CONTRACT WITH LEGAL CONSEQUENCES. I HAVE BEEN ADVISED TO READ IT CAREFULLY BEFORE SIGNING.

In consideration of the issuance of a license to me and the acceptance of my application for entry in the above event, I hereby freely agree to and make the following contractual representations and agreements.

I acknowledge that cycling is an inherently dangerous sport and fully realize the dangers of participating in a bicycle race and FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING by way of example and not limitation the following: dangers of collision with pedestrians, vehicles, other racers, and fixed or moving objects; the dangers arising from surface hazards, equipment failure, inadequate safety equipment, THE RELEASEES' OWN NEGLIGENCE and weather conditions; and the possibility of serious physical and/or mental trauma or injury associated with athletic cycling competition.

For myself, my heirs, executors, administrators, legal representatives, assigns, and successors in interest (collectively "Successors") I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE NOT TO SUE AND INDEMNIFY the Releasees and the sponsors of this event, the organizer and any promoting organizations, property owners, law enforcement agencies, all public entities, special districts and properties, and their respective agents, officials, and employees through or by which the events will be held, (the foregoing are also collectively deemed as RELEASEES), FROM ANY and all rights and CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASEES OWN NEGLIGENCE, which I have or which may hereafter occur to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or in association with the event, or travel to or return from the event.

I agree it is my responsibility to be familiar with the race course, the releasee's rules, and any special regulations for the event. I understand and agree that situations may arise during the race which may be beyond the immediate control of the race officials or organizers, and I must continually ride so as to neither endanger myself or others. I accept responsibility for the condition and adequacy of my competition equipment. I will compete wearing a helmet which satisfies the requirements of the RELEASEES Racing Rules and that can protect against serious head injury, and assume all responsibility and liability for the selection of such a helmet. I have no physical or medical condition which to my knowledge, would endanger myself or others if I participate in this event or would interfere with my ability to participate in this event.

I understand that drug testing may be conducted for athletes registered for this event and that the use of blood boosting or substances prohibited by RELEASEES rules would make me subject to penalties including, but not limited to, disqualification and suspension, I agree to be subject to drug testing if elected, and it's penalties if I fail to comply with the testing or am found positive for the use of a banned substance.