The Official 2011 Competitive Velo Cycling Team application, waiver, and media rights agreement.

1. 2011 MEMBER APPLICATION
Name: ________________________________________________ Emergency Contact: ____________________________ Phone: _______________
Address: ______________________________________________ City: ______________________________ State: _________ Zip: ______________
Home Ph: ___________________________ Cell Ph: ___________________________ E-mail: ____________________________________________
Date of Birth: __________________________ Age as of 12/31/2010: _________
USAC License Nr: __________________________
Road Racer Category (5, 4, 3, 2, 1, Pro): Road: _____ Track: _____
Mountain Racer Category (3, 2, 1, Pro): Endurance/XC: _____ Gravity/DH: _____ Mtn Cross/DS: _____ Observed Trials: _____
USAC Racer Category (4, 3, 2, 1, Pro): Cyclo-cross: _____
USAT License Nr: __________________________ Category: _____
Briefly describe your racing experience and accomplishments.
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Please describe your racing emphasis or preference (e.g., Road, Criterium, Track, Time Trial, Cyclo-cross, MTB XC, MTB Endurance, and Triathlon).
_________________________________________________________________________________________________________________________
Do you have any other skills or experience that may otherwise benefit the Team (e.g. graphics design, web-programming, creative writing, etc)?
_________________________________________________________________________________________________________________________
Do you have potential Team sponsorship contacts? If so, please identify prospective sponsors, and provide a brief description and nature of the
potential sponsor’s business.
_________________________________________________________________________________________________________________________
Send the Team application, waivers, and deposit to:
Competitive Velo
C/o 4773 County Rd 32
Clanton, AL 35046
If you have any questions or need additional information, please contact David Hiott, President at 205-280-2660 or Cell: 334-399-3995.
CODE OF CONDUCT AND BY LAWS
As a member of Competitive Velo (hereinafter “Team”), I promise to follow USA Cycling guidelines regarding rider conduct and rider sportsmanship.
Furthermore, I will practice good sportsmanship and conduct myself in a professional manner at all cycling and non-cycling events where I am
representing the Team. (Representing the Team is defined as any time you are wearing Team apparel, or participating in any race or training event
where you are registered as a Team member, regardless of whether you are wearing Team Apparel, while participating at the event). Team members
demonstrating a manifest unwillingness to meet the following Code of Conduct and By Laws will be subject to suspension or dismissal from the Team.
A. Unacceptable Behavior includes but is not limited to:
Verbal or physical abuse to any person at any time while representing the Team.
Use of foul language or physical abuse towards any person while representing the Team.
Making obscene gestures directed to any persons while participating in a racing or training event.
Malicious actions on or off the bicycle toward any persons, property, Team apparel and equipment while participating in a racing or training
event.
B. Team Apparel. As valuable advertising for the Team’s sponsors, Team members are expected to wear the current, complete Team uniform
whenever possible during training, and without exception while participating in all races. Team members are expected to maximize exposure for Team
sponsors during racing and training events. Team members are responsible for maintaining a serviceable Team uniform. If your uniform is no longer
serviceable you must replace those items that are no longer serviceable with official, current, Team uniform items. You will not be allowed to officially
compete on behalf of the Team without a current Team uniform. Depending on funds, the Team may issue you one or more uniforms; otherwise you
must purchase your own Team uniform(s) at cost.
C. Safety. Team members must be conscious of their role as ambassadors to the non-cycling and recreational cycling community. Failure to wear a
helmet and abide by traffic laws, if observed by the public, can be extremely detrimental to the Team and its sponsors, and may result in the revocation
of all sponsorship benefits for the entire Team. I agree to wear a certified helmet and obey all traffic regulations as enforced by all relevant local
authorities while on individual, group or Team training rides, or as instructed during sanctioned events.
D. Organization Membership. Organization membership is by invitation only. I agree that in order to be a Team member, I must be a member in good
standing with Competitive Velo, must meet all requirements specified in this document, and must complete and sign a team application and all
AAPLICATION, CODE OF CONDUCT, AND BY LAWS
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2. applicable waivers. I understand that failure to obtain membership or meet requirements in this document will preclude me from competing as a Team
member and from receiving Team uniforms or Team benefits. I understand that failure to comply with the code of conduct, by-laws, or committing
actions that bring discredit to the Team, its sponsors, or any of its associates, may result in dismissal without refund or obligation. I understand that
annual renewal of membership is not guaranteed.
F. Racing License. I agree to obtain a valid USAC racing license from USA Cycling, Inc. (USAC) registered under the USAC Club name “Competitive
Velo” before participating in any cycling event as a Team member. I understand that failure to obtain a proper racing license will preclude me from
racing as a Team member, receiving Team uniforms or Team benefits. I understand that only one USAC license is required for my primary cycling
discipline. I understand that one day licenses are acceptable for additional cycling disciplines and may be purchased on the day of the event. I
understand that for Road events; I may ride under a 1 day license in Men’s Category 5 or Women’s Category 4 and for Mountain events; I may ride
under a 1 day license in Youth, Junior, Cat 3, and Cat 2 classes. I understand that I am not eligible to participate in any USAC sanctioned State or
National Championship events using a 1 day license.
G. Racing Rules. I understand that I am responsible for reading, understanding, and complying with all rules and regulations for racing in events for
which I have registered i.e. USAC or UCI rules. I understand that failure to comply with said rules may result in my disqualification from the event, and
possibly, dismissal from the Team.
I. Race Commitment. Although this is a Team established to compete in, and promote bicycle racing events, there is currently no race commitment
requirement.
J. Team Meetings and Functions. Participation in Team meetings and functions such as hosted race events are mandatory. I agree to attend and
participate in all Team meetings and functions unless otherwise excused by Team President or other officers of the team. I understand that Team
meetings and functions will be scheduled as far in advance as possible with at least one week prior notice by the Team President or officers of the
Team. I understand that generally, there will be a team meeting once a quarter unless special circumstances prevent the Team from meeting or require
the Team to meet more frequently. I understand that it is possible that an emergency Team meeting may be called at anytime and all will attend if at all
possible. I understand that this organization must host at least one cycling event in accordance with USAC rules and that I am required to assist with at
least some part of the promotion and/or execution of that event to include setup and tear-down of the venue.
I HAVE READ THE CODE OF CONDUCT AND BY-LAWS, FULLY UNDERSTAND ALL TERMS, AND SIGN FREELY AND VOLUNTARILY WITHOUT
ANY INDUCEMENT.
Name (print): __________________________________________________ Date: ____________________
Signature: _____________________________________________________________________________
(Signatures must be signed in ink)
FOR PARENTS/GUARDIANS OF APPLICANTS OF MINORITY AGE
This is to certify that I, as a parent or guardian with legal responsibility for this Applicant, represent to the Releasees that the facts herein concerning my
child or ward are true. I give my permission for my child or ward to enter any bicycle race or event sponsored, promoted, or put on by the Team or its
associates during the period of the membership applied for, and further, in consideration of the granting of such membership, agree, individually and on
behalf of my child or ward, to the terms of the above agreement.
Parent/Guardian Name (print): ____________________________________ Date: ____________________
Parent/Guardian Signature: _______________________________________________________________
(Signatures must be signed in ink)
AAPLICATION, CODE OF CONDUCT, AND BY LAWS
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3. 2011 WAIVER AND RELEASE OF LIABILITY
IN CONSIDERATION of being permitted to participate in such activities as may now or hereafter be organized, operated, sponsored, and/or promoted
by Competitive Velo, and/or Competitive Velo LLC, and/or the bicycle racing team, known as “Competitive Velo” (“Competitive Velo”, “Team Competitive
Velo”, and “Competitive Velo Cycling Team” are hereinafter referred to collectively as “Team”), the undersigned hereby represents and agrees as
follows:
1. The forgoing release is intended to benefit and shall be deemed to extend to and cover, without limitation, the following entities or persons:
Competitive Velo, Competitive Velo LLC, Team, its officers, directors, managers, employees, agents, contractors, and subcontractors, as well as any
and all Team representatives, sponsors, municipalities, event directors and volunteers, their heirs, successors in interest, assigns and insurers
(“Releasees”); and,
2. I hereby acknowledge that the risk of injury from the activities involved in this program is significant, including the potential for property loss, serious
bodily injury, permanent paralysis and/or death. Such risks include, but are not limited to, those caused by terrain, facilities, temperature, weather,
equipment, vehicular traffic, conditions of athletes, lack of hydration, and actions of others, including, but not limited to, Releasees, race participants,
sponsors, volunteers, spectators, coaches, event officials and monitors, and producers or promoters of racing and training events. I also realize that
various situations that may give rise to liability for serious personal injury and/or property damage may arise from the negligence or carelessness of
the various persons and/or entities being released hereby, or from dangerous or defective equipment or property owned, maintained or controlled by
them; and,
3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS OF PARTICIPATING OR VOLUNTEERING IN SUCH ACTIVITIES, both known and
unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
4. I certify that I am physically fit, have sufficiently trained for participation in these activities and have not been advised otherwise by a qualified medical
practitioner. I acknowledge that this Waiver and Release of Liability (hereinafter “Waiver”) may be used by event holders, sponsors and organizers, in
which I may participate, and that it will govern my actions and responsibilities at said activities; and,
5. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard
during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,
6. I hereby consent to the provision of emergency medical treatment which may be deemed advisable in the event of injury, accident or illness which
may occur while participating in any such activities. In the event of injury I further consent to the provision of such transportation arrangements as may
be required in order to effect emergency medical treatment as well as the release of any and all information that may be required in order to provide
reasonable and necessary medical treatment on my behalf; and,
7. I, for myself and on behalf of my heirs, next of kin, executors, personal representatives, successors, administrators, transferees, and assigns,
HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the entities and/or individuals listed above (“Releasees”) from any and all liabilities and/or
claims, INCLUDING INJURY, DISABILITY, DEATH, or loss or damage to person or property which may result or derive in any way from my
participation in the activities, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted
by law; and,
8. I represent and warrant that I am over the age of 18 or have parental or guardian consent and that I have carefully read this Waiver and understand its
terms.
9. I understand and expressly agree that the forgoing Waiver is intended and shall be construed to be as broad and inclusive as is permitted by the laws
of the State of Alabama, and that if any portion thereof is held invalid, it is agreed that the remainder of the Waiver shall, nevertheless, continue in full
force and effect, without abatement of the remaining terms thereof. I understand that I am giving up important and substantial legal rights, including
but not limited to the right to sue and/or recover legal damages from the individuals and/or entities released hereby. I further acknowledge and
represent that I am signing this Waiver freely and voluntarily, with the intent to be bound by the terms of this Waiver to the fullest extent allowed by
law; and,
10.I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT AND THAT BY SIGNING IT I AM GIVING UP MY RIGHT TO SUE OR OTHERWISE MAKE
A CLAIM against Releasees and/or all other entities and persons described or otherwise listed herein; and,
I HAVE READ THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ALL TERMS, UNDERSTAND THAT
I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Name (print): ____________________________________ Date: ____________________
Signature: _______________________________________________________________
(Signatures must be signed in ink)
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all
the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from
any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent/Guardian Name (print): ____________________________________ Date: ____________________
Parent/Guardian Signature: _______________________________________________________________
(Signatures must be signed in ink)
WAIVER AND RELEASE OF LIABILITY
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4. 2011 UNLIMITED PERSONAL RELEASE AGREEMENT
For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby irrevocably grant unto Competitive Velo,
and/or Competitive Velo LLC, and/or the bicycle racing team, known as “Competitive Velo” (“Competitive Velo”, “Team Competitive Velo”, and
“Competitive Velo Cycling Team” are hereinafter referred to collectively as “Team”), and the Team’s assignees, licensees, sponsors, municipalities, and
successors in interest, the right to use my photographic image and/or likeness, video and audio recordings, and name (hereafter “Image”) in all forms
and for all purposes, including but not limited to Team advertising, trade, and/or commercial purposes as is permitted by the laws of the State of
Alabama.
1. I waive the right to inspect or approve versions of my image used for publication or the written copy that may be used in connection with the Image.
2. I hereby release the Team and the Team’s assignees, licensees, sponsors, and successors from any claims that may arise regarding the use of my
Image including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright. The Team is permitted,
although not obligated, to include my name as a credit in connection with the Image.
3. The Team is not obligated to utilize any of the rights granted in this Agreement.
4. I expressly agree that the forgoing Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Alabama, and that if
any portion thereof is held invalid, it is agreed that the remainder of the Agreement shall, notwithstanding, continue in full legal force and effect.
5. I represent and warrant that I am over the age of 18 or have parental or guardian consent and that I have carefully read this Agreement and
understand its terms.
6. I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT AND THAT BY SIGNING IT I AM GIVING UP MY RIGHT TO SUE OR OTHERWISE MAKE A
CLAIM against Team and/or all other entities and persons described or otherwise listed herein; and,
I HAVE READ THIS UNLIMITED PERSONAL RELEASE AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Name (print): ____________________________________ Date: ____________________
Signature: _______________________________________________________________
(Signatures must be signed in ink)
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
I, as a parent or guardian of the Applicant, represent to the Releasees that the facts herein concerning my child or ward are true. I give my permission
for my child or ward to enter any bicycle race or event sponsored, promoted, or put on by the Team or its associates during the period of the
membership applied for, and further, in consideration of the granting of such membership, agree, individually and on behalf of my child or ward, to the
terms of the above agreement.
Parent/Guardian Name (print): ____________________________________ Date: ____________________
Parent/Guardian Signature: _______________________________________________________________
(Signatures must be signed in ink)
UNLIMITED PERSONAL RELEASE AGREEMENT
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