I agree to abide by and follow all safety rules presented during the BIKING BUDDIES classes and willingly and knowingly assume for myself and the minor participant, all risk of physical injury or emotional distress which may occur during any class, and I agree to hold PPTS employees and it's volunteers harmless from any and all liability arising from participation. I understand, agree, and acknowledge that there are risks inherent to bike riding activities and that these activities may be of a hazardous nature.
With full understanding of the facts, I state that to the best of my knowledge I, or my child listed above, has no medical, physical, or emotional health conditions, which would hinder or prevent participation in the BIKING BUDDIES Bike Riding Clinic. I also understand that this form must be signed by the adult participant and/or parent/legal guardian of a participant under 18 years of age prior to participating in BIKING BUDDIES classes.
I HAVE CAREFULLY READ ALL OF THE ABOVE INFORMATION. I ACCEPT AND ACKNOWLEDGE IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE. I UNDERSTAND THAT THE INFORMATION HEREIN WILL GOVERN MY RELATIONSHIP AND THE RELATIONSHIP OF ANY PARTICIPANTS WITH PREMIER PEDIATRIC THERAPY SOURCE. MY ACCEPTANCE HERE SUPERSEDES ANY OTHER AGREEMENT, WRITTEN OR ORAL, THAT MAY HAVE BEEN PRESENTED TO ME WITH RESPECT TO MY RELATIONSHIP WITH PREMIER PEDIATRIC THERAPY SOURCE.