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Bicycles International
Amount $
Waiver
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WAIVER AND RELEASE OF LIABILITY This Release and Waiver of Liability (the “Release”) is executed by the “Participant” and, if applicable, in conjunction with the parent(s) or guardian having legal custody or legal guardianship of the Participant, in favor of Bicycles International. For purposes of this Release, all references to Bicycles International and includes its employees, officials, agents, representatives and volunteers. The Participant desires to participate in the described event and agrees, at his/her sole cost and expense, to indemnify and hold harmless Bicycles International from and against any and all liability, damages, claims and demands which may be imposed upon, incurred by or be asserted against Bicycles International and its officials, employees, agents and representatives as a result of or in any way connected with the participant’s participation in this activity.
Read through the agreement.
I have read and agreed to the TERMS
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Is the participant 18 or older?
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18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
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Do not COPY & PASTE the code, please type it into this field.
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no handling
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Payment Method
The payment and credit card section is not visible because there is nothing owed or form fields have not been fully completed.
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Payable To:
Bicycles International
Address:
1752 S Tamiami Trl Venice, FL. 34293
click the "submit" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
38901
in "What's it for".
3. Click the "pay now" button.
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