team or club name ________________________________________________________________
The undersigned applicant hereby agrees to and does release the David G. Miles Jr., the
California Outdoor Rollerskating Association, DMJ Skate Sports Marketing, the Golden Gate
Park Skate Patrol, the Boy Scouts Of America, San Mateo County, Association or any other
associated entities (herein known as "sponsors") from any responsibility and
liability arising out of the applicant's participation in the GodFather's 100 Kilometer
Challenge. (herein referred to as "roadskate")
The undersigned applicant agrees to and acknowledges that he or she assumes all risk
incident to his or her involvement in the roadskate. The applicant agrees that he or she
will not sue or make any claims whatsoever against the sponsors. Applicant acknowledges
that this event involves skating up and down hills on state or county roadways and agrees
to obey all event rules, traffic laws, park rangers, local police, and California Highway
Patrol during the roadskate.
Applicant and those signing in their behalf agrees further that the term
"applicant" includes the undersigned and his or her heirs, assigns, agents and
legal representatives and that the term "sponsor" includes all past, present and
future subsidiaries, franchises, affiliates, officers, directors, employees and agents of
the sponsors including their heirs, agents and legal representatives.
Applicant hereby authorizes the D.M.J. Skate Sports Marketing to videotape, photograph,
or otherwise record the image of the applicant during the roadskate.