RIDE Solutions Program Participation Form: 

Please read this form when registering yourself or your minor child or ward (under the age of 18) for participation in our programs. 

In consideration of myself or my minor child or ward being permitted to enroll and participate in this program, I agree to:

  1. Assume all risks of this activity and understand that such activity is subject to mishap and even injury, and that participation in the activity could result in broken limbs, paralysis, or other serious injury or death.
  2. Wear proper clothing and protective equipment during the program and act in a safe and responsible manner so as not to endanger other persons or property;
  3. Follow all applicable rules of the road, including signaling, stopping at lights/signs, and interacting with traffic in a safe and appropriate manner.
  4. Indemnify and hold harmless the RIDE Solutions and the Roanoke Valley-Alleghany Regional Commission, its officers, officials, agents, instructors, employees, and volunteers from any and all claims, damages, losses, and expenses, including attorney’s fees, for any harm, injury, damage or loss which may be sustained by me or my minor child or ward, arising out of, or resulting from, participating in this activity;
  5. Assign to RIDE Solutions and the Roanoke Valley-Alleghany Regional Commission, its nominees and agents, permission to use, publish and republish for purposes of advertising and trade such use as the Commission may determine, information and reproductions of my likeness (photographic or otherwise) or that of my minor child or ward, with or without identification of me, or my minor child or ward by name; and
  6. Allow my minor child or ward named below to participate in the program.

 

General Media Release

  1. I, the undersigned, hereby allow RIDE Solutions to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions).
  2. I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by RIDE Solutions (I understand that I may be identifiable from such photographic or electronic reproduction).

 

RIDE Solutions App Pre-Registration

I agree to be pre-registered for the RIDE Solutions app.  I understand I will receive an invitation to complete my profile online, or to download the app to my mobile device.