In consideration of being accepted as an Anchor House Ride for Runaways participant, I, the undersigned, intending to be legally bound, do hereby for myself, my heirs, executors, administrators or assigns, waive, release and forever discharge any and all rights and claims I have against Anchor House Inc., the Anchor House Foundation, the officers, members, sponsors or any other persons connected with the Anchor House Ride for Runaways, from any liability from my injury, illness or death sustained as a result of my participation in any activities associated with the Ride For Runaways.

If a rider, I warrant that I am in good physical condition and will train sufficiently for a 500-mile ride over rolling and hilly terrain. I have no disabilities that will affect my ability to ride. I agree to wear an approved bicycle helmet while riding on the Ride for Runaways and on any official Anchor House training rides. I am competent to ride safely and I agree to obey all laws of the states in which I ride and adhere to safety guidelines established by Anchor House.

In my personal deportment, I will respect the good reputation of Anchor House and will behave in a way that reflects well upon the House and Ride. I understand that if I choose not to follow the rules of the road or if I engage in any behavior that reflects poorly on Anchor House, I can be removed from the Ride at any time.

I understand that I am required to raise at least $750 in pledges for the Anchor House Foundation. I agree to be photographed and filmed during the Ride and related events for for promotional purposes related to the Ride and Anchor House.