Waiver of Liability

 I, ______________________________, the undersigned, agree that I am providing my own insurance for this ride and that I accept full responsibility for myself and my passenger, if any.

I agree that I will not hold the organizer(s) of this ride responsible for anything involved with this ride that is beyond their control or within their control. 
  

                                    Signed:_______________________________________

                                    Dated: _______________________________________ 
 

Please scan and email this form to:

 douglas.vanbossuyt@gmail.com