Pedaling Philanthropy

VOLUNTEER LIABILITY RELEASE FORM

In consideration of my desire to serve as a volunteer for Free Bikes 4 Kidz Delaware I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary event or other activity of any nature.

Further, I, for myself and my heirs and assigns, hereby release and discharge Free Bikes 4 Kidz Delaware and its officers, directors, employees and volunteers of and from any and all claims which I may have against any of the above arising in connection with such volunteer efforts or my participation therein, and hereby waive all such claims, demands and causes of action.

Further, I expressly agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the State of Delaware , and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Also, I hereby grant permission to Free Bikes 4 Kidz Delaware to use my likeness, whether through the use of photographs, film, videotape, or other media, for promotional and marketing purposes.

I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected of me.

Further, I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own, free act.