Register For
Pedal for Possibilities

Jupiter, FL 33458

Registrant #1

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When registering your group (family), please enter the information of the main participant (Parent or Guardian) in the section above. You will only need to enter one person's information on the registration page.

On the next screen you will be prompted to enter the number of individuals participating in the Family Fun 5-Miler Race - This is where you will include a count of people in your group. 

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Waiver

In consideration for participating in the Pedal for Possibilities event benefitting Els for Autism, I, for myself, and on behalf of any heirs, assigns, personal representative and next of kin hereby waive, release and forever discharge RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees, and Els for Autism Foundation and all its administrators, directors, agents, officers, and employees (“Releasees”) from all liability, claims, loss or damage to person or property sustained by me whether caused by the negligence of the Releasees or otherwise, to the fullest extent permitted by law and hold harmless all of the above Releasees from any and all liabilities incident to my attendance and participation in the above-cited event and related activities whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.

I know that participating in a bike ride event is a potentially hazardous activity. I should not enter unless I am medically able to do so and properly trained. I assume all risks associated with participating in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in participating in a bike ride. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the ride. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.


Photo/Video/Biographical/Other Media Consent and Release:


I do hereby irrevocably give my permission and grant to Els for Autism the right to:
(i) film, record, photograph and collect (collectively, and including any derivative works thereof, the “Recordings”) my and/or my child’s (if applicable) name, image, likeness, and voice (collectively, “My Likeness”) and my biographical information and any oral or written statements, materials, or interviews I have given or will give (collectively, “Biographical Materials”) 
(ii) edit, copy, use, reproduce, exhibit, publish, distribute, create derivative works, and otherwise use My Likeness and/or Biographical Materials, as they appear or exist in any Recording, in any medium now or future existing (including, without limitation, in print, online or hard copy publications, video, television, internet, film, and any other medium) for educational, philanthropic, public relations, marketing, advertising, fundraising, and/or promotional purposes. 
I understand and agree that I am granting Els for Autism a perpetual, exclusive, and worldwide license to use and display My Likeness and Biographical Materials in such Recordings without any compensation therefore now or in the future. I further acknowledge and agree that Els for Autism is and will be the sole and exclusive owner of all right, title, and interest in and to any Recording, including all copyrights and other intellectual property rights therein, in perpetuity throughout the world. To the extent all or any part of a Recording does not qualify as, or otherwise fails to be, the intellectual property of Els for Autism, I hereby assign, transfer, and otherwise convey to Els for Autism, irrevocably and in perpetuity, throughout the world, all of my and/or my child’s (as applicable) right, title, and interest in and to any and all Recordings, including all copyright and other intellectual property rights.

I do hereby: 
Represent and warrant that I am at least eighteen (18) years of age, and have full right, power and authority to enter this Release and grant the rights granted in this Release.  By signing this Release I acknowledge that I have completely read and fully understand the terms of this Release and agree to be bound by them. 
To the fullest extent permitted by applicable law, irrevocably waive all legal and equitable rights relating to all liabilities, claims, damages, and other actions related to or arising from Els for Autism’s exercise of its rights under this Release or its use of any recording in accordance with the terms of this Release; and Forever waive and disclaim any right I might have now or in the future to (A) receive compensation for my participation in the Recordings or any activities related thereto, (B) assert ownership of any Recording, and (C) inspect or approve any finished products, advertising or marketing materials, or other copy of any Recording that may be used by Els for Autism in accordance with this Release.  

To the extent my minor child is a participant in any Recording, I, the undersigned, hereby execute and deliver this Release, and grant all the rights granted herein with regard to any such Recording, to Els for Autism, in my capacity as my child’s parent or legal guardian.

This event follows the standard industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable.


By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER AND SIGNING THIS WAIVER FREELY AND VOLUNTARILY.




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