Mickelson Trail Affiliates
Ride Waiver
 Click here for printable waiver

All riders on any organized MTA ride must have a waiver on record with the Mickelson Trail Affiliates.

Bike helmet use is required on all organized MTA rides.

IN CONSIDERATION of being permitted to participate in any way in Mickelson Trail Affiliates
sponsored Bicycling Activities ("Activities") by my/our signatures below, on behalf of ourselves, our heirs, next of kin, successors in interest, assigns, personal representatives, and agents, we hereby:

BY MY SIGNATURE BELOW, I acknowledge that I am aware of, appreciate the character of, and voluntarily assume the risks involved in participating in The Big Mick Bicycle Century-Half Century- Metric Century and/or 32 mile fun ride. 

By my/our signatures below, on behalf of ourselves, our heirs, next of kin, successors in interest, assigns, personal representatives, and agents, I hereby :

1.  Waive any claim or cause of action against and release from liability the State of south Dakota, its officers, employees, and agents for any liability for injuries to my person or property resulting from my participation in the activity listed above;

2.   AGREE to  indemnify and hold harmless The State of south Dakota, its officers, employees, and agents for any claims, causes of action or liability to any other person arising from my participation in the activity listed above; and

3.  Consent to receive any medical treatment deemed advisable during my participation in the activity listed above.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF THE RISK AND INDEMNITY AGREEMENT AND CONSENT TO MEDICAL TREATMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

____________________________________                   _______________________

name  of participant:                                                                        date of birth

Address___________________________ City ____________________State____________ ZIP ______

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Signature of parent (if under age 18)

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Printed name of Participant    Date signed

Minors Must have this consent form signed by a parent or court-appointed legal guardian before they can participate in this event.

 NO EXCEPTIONS