RUFF RIDE 2022 Sunday, September 18, 2022 The ride starts at 9:30 am at Burlington Humane (740 Griffith Court, Burlington). New Route! New Rest Stops! PRIZES!! Ruff Ride Registration 2022 Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Email* Rider Registration Price: $ 35.00 CAD Quantity: (Includes BBQ Lunch)Passenger Registration Price: $ 0.00 CAD Quantity: (Includes BBQ Lunch)Total $ 0.00 CAD RELEASE AND WAIVER FORM Certification of consent and authority of liability, waiver of claims, assumption of risk and indemnity agreement. I (rider/passenger in the Burlington Humane Society Charity Motorcycle Ride - the “Ruff” Ride) hereby declare that I hold a valid and appropriate license to operate a motorcycle on Ontario roads and that the motorcycle I am riding is properly insured and I will be wearing an approved helmet. I also acknowledge that I am aware that by riding a motorcycle in the Ride, I am participating in a risk-taking and potentially hazardous outdoor pursuit, and there is a possibility of injury or even death resulting from such an activity. Risks include but are not limited to damage to person or property arising from collision or other motor vehicle accident, involving other participants in the Ride or involving other traffic or animals, risks of unsafe driving conditions or unpredictable weather. As a free and willing participant in the Burlington Humane Society Charity Ride - the “Ruff” Ride, I hereby consent to all such risks associated with the event and fully assume all responsibility for injury, death, disability, property damage or loss, however caused. I waive any and all claims that I have or may have in the future against the Burlington Humane Society, its board, members, employees, volunteers, sponsors and all other individuals associated directly or indirectly with the Burlington Humane Society Charity Ride - the “Ruff” Ride and all other associated events, as a result of my participation in the Ride. I also agree to hold harmless and indemnify the Burlington Humane Society, its board, members, employees, volunteers, sponsors and all other individuals associated directly or indirectly with the Burlington Humane Society Charity Ride - the “Ruff” Ride and any other associated events, from any liability for any damage to the personal property of, or personal injury to, any third party as a result of my participation in the Ride. I agree not to ride or drive under the influence of alcohol or drugs during, before or after this event and will not hold the Burlington Humane Society responsible for any injury, death or damage to another person, rider or vehicle as a result of my choice not to abide by this agreement. I agree to release Burlington Humane Society, its board, members, employees, volunteers, sponsors and all other individuals associated directly or indirectly with the Burlington Humane Society Charity Ride - the “Ruff” Ride and after event, from any and all liability from any loss, damage, injury or expense that I, the Rider and/or passenger may suffer as a result of my participation in the Ride DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE on the part of the Burlington Humane Society Charity Motorcycle Ride - the “Ruff” Ride. I also agree that the Burlington Humane Society are entitled to photograph and videotape aspects of the Ride, and that all photos and videos - including all that depict me - are the property of the Burlington Humane Society to use as it sees fit, including to publicize future Rides and/or events/* I have read and understood this waiver Consent* I am aware that by checking this box, I am waiving certain legal rights which I, the applicant and my heirs, next-of-kin, Executors and Administration, may have. Date* MM slash DD slash YYYY Name* First Last CAPTCHAAfter you hit "Submit" you will be taken to PayPal where you will be able to make your payment.
