Step 1 of 4 (Registration Agreement)

American Bicycle Racing - Annual Membership

in Kenosha, WI


  • Adults - Ages 80 and above (age on December 31 of current year)



Waiver, Consent and Release of Liability

WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THIS ORGANIZATION AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.

Admission of Risk and Liability Release

I am applying for racing membership and/or an officiating membership in American Bicycle Racing, Inc. I understand and accept the fact that racing a bicycle can be dangerous and I fully accept the risk that may be involved. I wish to forever release American Bicycle Racing, Inc., its clubs, employees, members, promoters, and sponsors from any liability due to any accidents in bicycle races involving American Bicycle Racing, Inc. I presently do not know of any mental or physical condition, which would affect my ability to participate in bicycle races.

FOR MINORS: Parent or Guardian must agree to this waiver.

I am the parent or guardian of the above listed Applicant, and assure American Bicycle Racing, Inc. that the facts listed above concerning my child or ward are true. By signing this form I am giving my permission for my child or ward to enter any bicycle race or event sanctioned by American Bicycle Racing, Inc. during the period of the license applied for and also agree to the terms of the above listed Admission of Risk and Liability Release.


I understand that this Waiver and Release may be stored electronically and agree that a copy is authentic and admissible as evidence in any future dispute or proceedings.



Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature




Multiple signers should separate their signatures with commas.


This agreement was generated at 8:47:41 PM EDT on 04/24/2017.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 8:47:41 PM EDT on 04/24/2017


  • American Express Discover Card Mastercard Visa
  • When this page loaded, the official time was 8:47:41 PM EDT.