BIKING ACROSS KANSAS, INC.

BAK Bicycle Rally 2021 ("Event")

I understand that bicycling in the Event has risks of injury and damage, including but not limited to risks of exposure to and complications from Novel Coronavirus ("COVID-19"), and I voluntarily and knowingly assume those risks. With that understanding, and in consideration of my being allowed to participate in the Event sponsored by Biking Across Kansas, Inc., I agree to the following:

RELEASE: I hereby release and agree to hold harmless Biking Across Kansas, Inc., its organizers, officers, directors, members, employees, agents and volunteers (collectively "BAK"); organizations providing accommodations for the Event and their personnel; and other bicycle riders participating in the Event, from any and all claims for personal injury, death, exposure to or complications from COVID-19, or property damage resulting from the negligent acts or omissions of BAK; organizations providing accommodations for the Event and their personnel; or other riders, sustained by me during my participation in the Event, and agree to indemnify BAK or any one or more of them for any expense or loss they may incur by reason of any such claim I may make.

ILLNESS/INJURY: If I exhibit symptoms commonly associated with or test positive for COVID-19, immediately prior to the event, I agree to stay home and not attend. If I exhibit symptoms commonly associated with or test positive for COVID-19 during the BAK Bicycle Rally 2021, I agree to immediately isolate myself from other participants, to cease participating in the Event until testing negative for COVID-19, and to be responsible for my own medical care and transportation. In the event of any other illness or injury during Biking Across Kansas, I agree that directorial or medical staff may determine that I cannot continue bicycling or traveling with the event for my own well-being and that of other participants. If this determination is made, I agree that I will leave the event within 24 hours, making my own travel arrangements, at my own expense, with no refund of entry fees. If my medical condition requires hospitalization during the Event, I agree that Biking Across Kansas will not provide transportation to retrieve me upon release. I agree to make my own travel arrangements at my own expense.

COVID COMPLIANCE: I agree to abide by the COVID-19 public health regulations of the jurisdictions in which the Event occurs, including wearing a mask when not cycling, unless excused by local law. I agree that my failure to comply shall be grounds for my expulsion from the Event with no refund of entry fees by BAK.

USE OF NAME/LIKENESS: I authorize and consent to persons acting for, volunteering, employed or contracted by Biking Across Kansas, Inc., whether by videotape, film, newsprint, website, Facebook, Twitter, written advertisement, or otherwise, to use or publish any materials containing my name or picture, and I release any sponsors and all persons acting under their authority from any claims I might have due to initial or subsequent publication of any such materials or photographs. I acknowledge that if my photo or name is used in such materials I will not be receiving any compensation whatsoever.

If, in Biking Across Kansas, Inc.'s ("BAK's") sole discretion, the commencement or continuation of the BAK Bicycle Rally and any related events and activities (collectively the "Activity") are made impossible, impracticable, or unreasonably dangerous to participants, staff or volunteers due to the occurrence of any force majeure event, or credible threat thereof, including but not limited to any Act of God, fire, earthquake, acts of civil or military authority, casualty, weather, flood, war, terrorist attack, epidemic, pandemic, public emergencies, insurrection, civil unrest, strikes or other labor activities, environmental conditions or any other similar cause beyond the reasonable control of BAK ("Force Majeure Event"), then BAK has the right to cancel all or any part of the Activity. In the event of any cancellation due to a Force Majeure Event, all registration fees are forfeited and will not be refunded by BAK.

Please understand, the Activity depends on many favorable conditions beyond BAK's control, and in their absence, some part or all of the Activity may have to be cancelled. Please also understand, if the Activity is cancelled as a result, you will lose your registration fee. BAK strongly recommends that you obtain trip/travel or similar insurance to protect you if Biking Across Kansas must be cancelled due to a Force Majeure Event.

Dated this day of ___________, 2021

Signature___________

Printed Name___________



Everyone under eighteen (18) years of age must have the following completed:

PARENT/GUARDIAN RELEASE: I as parent or guardian of the above named minor hereby give my permission and consent voluntarily and freely for my child to participate in the Event. I further agree individually and on behalf of my child to the above terms and have fully read the "Release" and "Use of Name/Likeness." ___________

___________Signature (parent or guardian)

Printed Name ___________

TO WHOM IT MAY CONCERN:

We the undersigned, father, mother, or guardian, of ___________

have the legal custody and control of ___________

born on ___________.

Authorization is hereby given for medical care and treatment to be administered to our minor child in the event of serious injury or illness. This Consent and Authorization will be for the period September 3-6, 2021.

Signature (parent or guardian)___________

Printed Name___________

Dated this day of ___________, 2021.