Genesis Bicycles Waiver and Release

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Please read the below wiaver and release form for Genesis Bicycles. This waiver only needs to be completed once per calendar year. Be sure to complete this waiver before joining a Genesis group ride or event. If you prefer, you can fill out an old-fashioned paper waiver before your first ride. Just ask the Genesis Ambassador for a form. Thanks for joining us! Have a great time!
 
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Haleakala, Ltd. t/a Genesis Bicycles
126 Bushkill Street, Easton, Pa 18042
General Waiver and Release

I, (hereinafter called “Customer”) hereby waive, release and forever discharge Haleakala, Limited, and/or Genesis Bicycles, (hereinafter called “Company”) and/or Tomias Hinchcliff, principals of Company, Company’s employees, stockholders, heirs, executors, administrators, successors, assigns, legal representatives, volunteers, independent contractors, and consultants, from any and all actions, causes of action, suits, charges and obligations, debts, dues, sums of money, accounts, reckonings, bonds, bills, specialties, covenants, contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, extents, executions, claims, and demands whatsoever, in law, admiralty or equity, which against the Company, Customer, his or her heirs, executors, administrators, successors and assigns ever had, now have or hereafter can, shall or may have for, upon, or by reason of any matter, cause or thing whatsoever from the beginning of time to the date of this Release, more specifically: Company allowing Customer to use a bicycle or other vehicle or conveyance for purposes of demonstration or “test ride.” This same Release shall apply to Customer participating in any activity or promotion sponsored and/or directed by Company whether or not said Customer is riding a bicycles loaned him or her by Company or is riding his or her own bicycle, for losses involving personal belongings or for any liability arising out of any injury or other mishap while Customer is using said bicycle or other vehicle or conveyance, due to any cause whatsoever, or for injuries within or without the demonstration area site, or en route to that site, or at any other time or place during the bicycles ride, or while on any of the premises of Company, or for damage to any property of any kind.

 

In participating in the demonstration or “test ride” or promotion or Company sponsored or directed activity and in signing this Release, I, as Customer named above, hereby affirm that I accept complete and total responsibility for my personal safety, my property and the personal safety and property of others with whom I may come in contact.

 

Further, I (Customer) hereby affirm that, if this is a demonstration or “test ride,” Company has offered me a helmet of the style generally worn by cyclists, and I have declared that I will wear it at all times while I am using the bike or other conveyance loaned to me by Company.

 

By submitting this waiver, I give Genesis Bicycles permission to use photos of myself and my children participating in a Genesis ride or event on their website, social networking page, and any other online or print publication at their discretion.

 

Click here to view the League of American Bicyclists Bike Ed Need to Know presentation (required)