Step 1 of 4 (Registration Agreement)

15th Annual Courage Ride

Saturday, August 17, 2019 in Iowa City, IA at Big Grove Brewery & Taproom

  • Donation For Dental Student Registrations




Agreement And Liability Release

I acknowledge that bicycling involves potentially hazardous activity that may result in property damage, personal injury and death. I understand there are risks inherent with bike riding on public streets, highways, pathways, sidewalks and parking lots where many hazards exist. I AGREE TO STAY ON ALL TRAILS AND ROUTES AS SHOWN ON MAPS PROVIDED AT REGISTRATION. I voluntarily choose to participate in this event and assume the risks thereof. I understand that I am responsible for my personal safety, my physical condition and the condition of my bicycle and equipment. I will, at all times, wear a helmet while riding. In consideration of my participation in the Courage Ride, I, for myself, spouse, heirs, personal representatives, and next of kin do release, forever discharge, and agree to indemnify and hold harmless the ride organizers, members, employees, volunteers, agents and sponsors from any and all negligence based claims, demands, or causes of action which I may have or that may accrue in the future arising out of or relating in any way to my participation in the event. I understand that I may be photographed and I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the Courage Ride organizers. I intend by my signature for this to be a complete and unconditional release of liability to the greatest extent allowable by law. I HAVE READ THIS AGREEMENT AND RELEASE, UNDERSTAND IT AND VOLUNTARILY AGREE TO AND ACCEPT ITS TERMS.



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

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 5:23:29 PM EDT on 08/17/2019.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 5:23:29 PM EDT on 08/17/2019


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