Leon County Sheriff's Office > Upcoming Events > Cycle Safety Course

Participant's First Name
Participant's Last Name
Participant's Age
Participant's School
Does participant know how to ride a bicycle? *participant must know how to ride without training wheels*
Parent/Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Phone Number
Parent/Guardian's email address
How did you hear about this course?
PARENTAL/GUARDIAN RELEASE: The minor’s parent and/or legal guardian understand the nature of bicycling activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releases from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the releasees named above, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim. (this form will also be available at the event for the parent/guardian to sign in person)

As the parent/guardian of the registering participant, I DO understand the above agreement and accept it.

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