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Test Ride Waiver

Thank you for filling out this waiver.  You may be asked to fill this waiver out again on subsequent visits.

This release states that you are taking responsibility for any personal injury and/or damage to equipment while test riding our bicycles.

First and Last Name*
E-Mail Address:*
Must be a valid e-mail address, e.g. email@domain.com.
Phone Number:*
Zip Code*
Which location are you taking a test ride at today?*
Clarksville, IN 1000 Veteran's Parkway
Evansville, IN 5701 Vogel Road
Lexington, KY 1987 Harrodsburg Road
Middletown, KY 11520 Shelbyville Road
Okolona, KY 8323 Preston Highway
St. Matthews, KY 132 Breckenridge Lane

I ACKNOWLEDGE THAT BY SIGNING THIS DOCUMENT, I AM ASSUMING RISKS, AND AGREEING TO INDEMNIFY, NOT TO SUE AND RELEASE FROM LIABILITY SCHELLER'S FITNESS & CYCLING AND THEIR EMPLOYEES (COLLECTIVELY "RELEASEES"), AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS. THIS RELEASE IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES. I HAVE READ IT CAREFULLY BEFORE SIGNING, AND I UNDERSTAND WHAT IT MEANS AND WHAT I AM AGREEING TO BY SIGNING In consideration of the use of the test ride bicycle provided to me by one or more of Releasees, I hereby freely agree to and make the following contractual representations and agreements. I ACKNOWLEDGE THAT CYCLING IS AN INHERENTLY DANGEROUS SPORT AND FULLY REALIZE THE DANGERS OF TEST RIDING A BICYCLE, whether as a rider or otherwise, and FULLY ASSUME THE RISKS ASSOCIATED WITH SUCH PARTICIPATION INCLUDING, by way of example, and not limitation: the dangers of collision with pedestrians, vehicles, other riders, and fixed or moving objects; the dangers arising from surface hazards, including pot holes, equipment failure, inadequate safety equipment, THE RELEASEES' OWN NEGLIGENCE, the negligence of others and weather conditions; and the possibility of serious physical and/or mental trauma or injury, or death associated with the activity of cycling. For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest (collectively "Successors") I HEREBY WAIVE, RELEASE, DISCHARGE, HOLD HARMLESS, AND PROMISE TO INDEMNIFY AND NOT TO SUE the Releasees and their respective agents FROM ANY AND ALL RIGHTS AND CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASEES' OWN NEGLIGENCE, which I have or which may hereafter accrue to me, and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my use of any bicycle provided by Scheller's Fitness & Cycling, LLC. I agree it is my sole responsibility to continually ride so as to neither endanger myself nor others. I ACCEPT RESPONSIBILITY FOR THE CONDITION AND ADEQUACY OF THE TEST RIDE BICYCLE AND MY CONDUCT AND AGREE TO IMMEDIATELY CEASE RIDING THE TEST RIDE BIKE IF ANY PROBLEM SHOULD ARISE WITH ITS OPERATION. I agree to wear a helmet which satisfies the requirements of the United States Consumer Product Safety Commission and that can protect against serious head injury, and assume all responsibility and liability for the selection of such a helmet. I have no physical or medical condition which would endanger myself or others, or would interfere with my ability to use the bicycle provided by Scheller's Fitness & Cycling, LLC. I agree, for myself and my successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert a claim contrary to what I have agreed to in this contract, the claiming party shall be liable for the expenses (including legal fees) incurred by the releasees in defending the claims. This contract may not be modified orally, and a waiver or modification of any provision shall not be construed as a waiver or modification of any other provision herein or as a consent to any subsequent waiver or modification. I consent to the release by any third party to Releasees and their insurance carriers of my name and medical information that may relate solely to any injury or death I may suffer arising from the event. Every term and provision of this contract is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable.

Do you agree to the terms and conditions of this document?*
Yes, I agree
Signature*
Type your full name to sign this waiver.

Note: * indicates required information.

 
Scheller's Fitness and Cycle in Kentucky and Indiana
    
            

Middletown
11520 Shelbyville Road

Louisville, KY 40243

502-245-1955

Evansville
5701 Vogel Road

Evansville, IN 47715

812-402-4950

Lexington
1987 Harrodsburg Road

Lexington, KY 40503

859-276-1071

Clarksville
1000 Veteran's Parkway

Clarksville, IN 47129

812-288-6100

Okolona
8323 Preston Highway

Louisville, KY 40219

502-969-4100

St. Matthews
132 Breckenridge Lane

Louisville, KY 40207

502-897-2611