Pedaling Philanthropy

VOLUNTEER LIABILITY RELEASE FORM

In consideration of my desire to serve as a volunteer for Free Bikes 4 Kidz I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary event or other activity of any nature.

Further, I, for myself and my heirs, personal representatives, successors and assigns, hereby (a) release and discharge Free Bikes 4 Kidz / Bicycle Harvest and its officers, directors, employees and volunteers from any and all claims, demands, causes of action, costs, losses, expenses and damages, whether known or unknown or foreseen or unforeseen, in contract, tort, equity or otherwise (collectively, “Claims”), arising in connection with such volunteer efforts or my participation therein, and hereby waive all such Claims and (b) agree to indemnify and hold harmless Free Bikes 4 Kidz / Bicycle Harvest and its officers, directors, employees and volunteers against and from any and all Claims related to personal injury, death or property damage arising from my volunteer activities for or on behalf of Free Bikes 4 Kidz / Bicycle Harvest.

Further, I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the the laws of the State of New Mexico or any other applicable law, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Also, I hereby grant permission to Free Bikes 4 Kidz to use my likeness, whether through the use of photographs, film, video/videotape, or other media, for promotional and marketing purposes.

I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected of me.

Further, I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own, free act.