Ride Release Form

GAYLORD RIGHT TO LIFE

In consideration of the planning, preparation, etc.

and the right to participate in the Ride for Life Event

and all activities associated with it:

On behalf of myself ______________________ and/or

__________________________, my minor child or child for which

I am legally responsible for, I release Gaylord Right to Life, Right to

Life of Michigan, and all individuals, in this event from any liability or

fault, injury, misadventure, harm, loss, death, or inconvenience

suffered as a result of participation in the Ride for Life Trail Event,

or in any of the activities associated with said event.

Signature of Participant: _______________________________________

Signature of Parent or Guardian:_________________________________

Date:___________ Witness:____________________________________

Together we are saving Lives.