Bicycle Safety Check

Bicycle Safety Check

Release of Liability
I First NameLast Name

I acknowledge that I have requested Landry’s Bicycles to undertake a safety check on my bicycle. I understand the Longwood Collective, Inc. (“LC”) has engaged Landry’s Bicycles to undertake safety checks and make adjustments to bicycles owned by employees of their member institutions seeking this assistance. The service is being provided to me at no cost. This program is a part of the Longwood Collective’s “Longwood Collective TMA” program goal to encourage alternative methods of commuting to the Longwood Medical and Academic Area.
In considerations of these services, I hereby release and hold harmless Landry’s Bicycles, Longwood Collective, the host institution, and all of their respective subsidiaries, owners, members, directors, officers, representatives, agents and employees from all claims, losses, liabilities, damages, injuries (including the reasonable cost of defense) arising out of, or in connection with, my participation in this program, and the work undertaken by Landry’s Bicycles. By submitting this form, I confirm I have read and agree to the statements above.
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