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I acknowledge that group bicycling carries with it the inherent risk of serious injury, death and property loss from causes which include, but are not limited to, terrain, public infrastructure, temperature, weather, the varying physical condition, abilities and skills of participants, equipment, vehicular traffic, actions of other people including, but not limited to, other bicyclists, motor vehicle operators and pedestrians, and lack of hydration. I hereby assume all of the risks of participating in bicycle rides and related events sponsored or made available by Philadelphia Major Taylor Cycling Club without regard to and notwithstanding any negligence or other fault that may occur on the part of Philadelphia Major Taylor Cycling Club, its officers, directors, agents, representatives, members, volunteers and sponsors. I certify that I am physically and medically capable of participating in bicycling. I certify that I have the skill and ability to safely control and operate my bicycle on public roadways with vehicular traffic and in the presence of other bicycles. I assume full responsibility for my safety while participating in bicycling and related events sponsored by Philadelphia Major Taylor Cycling Club including, but not limited to, my medical and health status, wearing an approved bicycle helmet at all times, the mechanical and operational fitness of my bicycle, following all provisions of the Pennsylvania and other State Motor Vehicle Codes applicable to bicycle operators and motor vehicles, and maintaining awareness of and responding safely to expected and unexpected vehicular traffic, road conditions and the presence of other bicycles on the road. In consideration of my membership in Philadelphia Major Taylor Cycling Club and permitting me to participate in group bicycle rides and related events, I hereby (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury and property damage which may hereafter occur to me while participating in bicycle rides and related events, ALL of the following entities: Philadelphia Major Taylor Cycling Club; its officers, directors, agents, representatives, members, volunteers, sponsors and assigns; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during bicycle ride or related event. This Waiver and Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. * I acknowledge that group bicycling carries with it the inherent risk of serious injury, death and property loss from causes which include, but are not limited to, terrain, public infrastructure, temperature, weather, the varying physical condition, abilities and skills of participants, equipment, vehicular traffic, actions of other people including, but not limited to, other bicyclists, motor vehicle operators and pedestrians, and lack of hydration. I hereby assume all of the risks of participating in bicycle rides and related events sponsored or made available by Philadelphia Major Taylor Cycling Club without regard to and notwithstanding any negligence or other fault that may occur on the part of Philadelphia Major Taylor Cycling Club, its officers, directors, agents, representatives, members, volunteers and sponsors. I certify that I am physically and medically capable of participating in bicycling. I certify that I have the skill and ability to safely control and operate my bicycle on public roadways with vehicular traffic and in the presence of other bicycles. I assume full responsibility for my safety while participating in bicycling and related events sponsored by Philadelphia Major Taylor Cycling Club including, but not limited to, my medical and health status, wearing an approved bicycle helmet at all times, the mechanical and operational fitness of my bicycle, following all provisions of the Pennsylvania and other State Motor Vehicle Codes applicable to bicycle operators and motor vehicles, and maintaining awareness of and responding safely to expected and unexpected vehicular traffic, road conditions and the presence of other bicycles on the road. In consideration of my membership in Philadelphia Major Taylor Cycling Club and permitting me to participate in group bicycle rides and related events, I hereby (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury and property damage which may hereafter occur to me while participating in bicycle rides and related events, ALL of the following entities: Philadelphia Major Taylor Cycling Club; its officers, directors, agents, representatives, members, volunteers, sponsors and assigns; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during bicycle ride or related event. This Waiver and Release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I understand and agree to follow the Philadelphia Major Taylor Club's (Club) CODE OF CONDUCT. While at Club events, wearing the Club's kit or otherwise representing the Club, I agree to behave in a manner that honors the spirit of Major Taylor and the City of Brotherly Love. * I understand and agree to follow the Philadelphia Major Taylor Club's (Club) CODE OF CONDUCT. While at Club events, wearing the Club's kit or otherwise representing the Club, I agree to behave in a manner that honors the spirit of Major Taylor and the City of Brotherly Love.

Photo Waiver I hereby grant the PMTCC permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the PMTCC and will not be returned. I hereby irrevocably authorize the PMTCC to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the PMTCC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. * Photo Waiver I hereby grant the PMTCC permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the PMTCC and will not be returned. I hereby irrevocably authorize the PMTCC to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the PMTCC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

What types of group rides do you prefer? (click all that apply) *
Relaxed Ride - easy (9 -12 mph) for 15–30 miles   Short C pace - (12 -14) mph for 25-35 miles   Mid C pace - (12-14) mph for 40-65 miles   Long C pace - (12-14) mph for 70+ miles   Mid B pace - (14-17) mph for 40-65 miles   Long B pace - (14-17) mph for 70+ miles   Mid A pace - (17+) mph for 40-65 miles   Long A pace - (17+) mph for 70-100 miles   Indoor Spinning

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