In recognition of the inherent risks of the activity in which I will engage, I confirm by submitting this form, that I am physically and mentally capable of participating in the tour riding a bicycle for 30+ miles a day at a reasonable pace. I further acknowledge that I am participating willingly and voluntarily.  I knowingly and freely assume all such risks, both known and unknown, including, but not limited to personal bodily, or mental injury, accidents, illnesses, and death, even if arising from the negligence of those persons released from liability herein and assume full responsibility for my participation. I also assume all responsibility for damage to or loss of personal property (my own or damage to others caused by my negligence) as the result of any accident that may occur. 

By electronically printing my name and submitting this form, I hereby authorize any medical treatment deemed necessary in the event of any injury while participating in the activity. I either have appropriate insurance or in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my/our behalf.


In consideration of services or property provided, I, on behalf of my heirs, successors, assigns, next of kin, and personal representatives, do hereby release GROOVE TOUR PA and its principals, directors, trustees, officers, agents, employees and volunteers from all liability arising out of the activity and waive any claim for damage arising from any cause whatsoever, including but not limited to all personal, bodily or mental injury, disability, death and loss or damage to person or property, whether caused by the negligence of those persons released or otherwise. I also agree to indemnify and hold harmless GROOVE TOUR PA and its principals, directors, trustees, officers, agents, employees and volunteers from all claims, judgments and costs, including attorney’s fees, incurred in connection with any action brought as a result of my participation in or observation of the activities. 

I acknowledge that by submitting this form, I am assuming risks, and agreeing to indemnify, not to sue, and release from liability Groove Tour PA and its leadership and affiliates (collectively “Released Parties”), and that I am giving up substantial legal rights. This release is a contract with legal and binding consequences and applies to all activities of the Released Parties, including but not limited to bike riding, camping, riding in shuttles and vans, and affiliated events during July 31 - August 2nd, 2020.  I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations pursuant to this Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement (the "Agreement");


  1.  I hereby represent that I am at least 18 years of age and am in good health and in proper physical condition to participate in the Event.  I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event.


2.  I understand and acknowledge the physical and mental rigors associated with bicycling and realize that it is an inherently dangerous activity. I understand that participation involves risks and dangers which include, without limitation, the potential for serious bodily injury, permanent disability, paralysis and death; loss or damage to property; exposure to extreme conditions and circumstances; accidents, illness, contact or collision with other participants, spectators, vehicles or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course conditions; water, road and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Released Parties; and other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers ("Risks"). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the acts, inaction or negligence of the Released Parties, and I hereby expressly assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event.


3. I hereby release, waive and covenant not to sue, and further agree to Indemnify, Defend and Hold Harmless the Released Parties with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature ("Liability") which may arise out of, result from, or relate to my participation in the Event, including claims for Liability caused in whole or in part by the negligence of the Released Parties. I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liability which any may be incurred as a result of such claim.


I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it, and sign it freely and voluntarily without any inducement. I intend for my typed, electronic name submission to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement.



Thanks for submitting!

Groove Tour
Jul 31, 2020, 7:00 AM – Aug 02, 2020, 7:00 PM
Scranton, PA, USA