Prayer: I, the participant agree to find 10 people to pray
for me daily while I'm gone.
Training: I, the participant commit to preparing physically
for 2007 Bike Trip, so that it will be a pleasant experience for the other
participants and myself. I have read the
recommended training schedule and will use it to prepare adequately.
Payment: I, the participant agree to pay $250 for the
trip. I have read the page involving the
costs for the trip. I understand that
there are out of pocket expenses involved on the trip which could reach $50. Checks should be made out to Naperville
Central FCA.
Rules and Regulations: Participants will be expected to commit to a verbal
contract at the beginning of the program.
This contract will include a commitment to guidelines of behavior for
the safety and well being of the individual and group. These include the
prohibition of all forms of tobacco, alcohol and drugs, cooperation with group
leaders and other members of the group, and the commitment to not become
involved in cliques and exclusive one-on-one relationships with excessive
displays of affection. The trip leaders will handle any discipline problems in
a manner as seen fit. If a participant is dismissed for failure to cooperate,
parents will be called and are responsible to pick up their child
immediately. If a participant is
dismissed, it will be at the parent’s expense and no refund will be given.
Liability: Naperville Central Fellowship of Christian Athletes
(NCHS FCA) is not liable for bodily injury or property damage as a result of
(but not limited to): physical exertion for which a participant is not
prepared; forces of nature; travel by auto, or other conveyance, or by bicycle,
foot or other form of active or adventure travel; consumption of alcoholic
beverages; civil unrest; terrorism; breakdown of equipment; lack of or limited
access to medical attention in remote locations; and the adequacy of medical
attention once provided. NCHS FCA
reserves the right to make route modifications as necessary to improve the
quality of the trip or to accommodate the comfort and well being of the
participants.
Release of Liability: We the undersigned are aware that traveling by auto,
foot, bicycle or other conveyance contains some inherent risks of illness,
injury or death. We the undersigned
recognize that such risks may be present before, during and after the trip by
participating in 2007 Bike Trip under the arrangements of NCHS FCA. In consideration of, and as part payment for,
the right to participate in the trip, and activities, services and food
arranged for the participant by NCHS FCA, we the undersigned have and do hereby
fully assume all risks of illness, injury, or death, and hereby release and
discharge NCHS FCA, from all actions, claims, or demands for damages resulting
from participation on the trip. We the undersigned solely agree to take responsibly
for any damages, loss or theft of bicycles and accessories during the
participants bicycle-touring period. We
the undersigned agree that the foregoing obligation shall be binding upon us
personally, as well as upon our heirs, executors and administrators and all
members of our family, including any minors accompanying the participant that
is undersigned. We the undersigned agree
to waive and relinquish all claims, including unintentional negligence, that
the participant or the parent/guardian may have against NCHS FCA and any of its
leaders as a result of participating in 2007 Bike Trip. We the undersigned have carefully read this
agreement and fully understand its contents and am aware that this is a release
of liability and a contract between us and NCHS FCA, and sign it of our own
free will.
Participant's
Name______________________ Participant’s Email________________________
Participant's
Signature______________________________ Date_______
Parent/Guardian
s Name(s)_______________________________________
Parent/Guardian’s
email _________________________________________
Parent/Guardian
Signature___________________________ Date_______
Address________________________ City_____________ Zip__________ Phone__________