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PARTICIPANT WAIVER & PERMISSION TO USE (REQUIRED)
  
The undersigned acknowledges on behalf of myself (and my child if I am signing as a parent or guardian for a minor child) that each is a voluntary participant in this event and that I (or my child) could become ill or injured due to the physical activity associated with this event.  In consideration of the privilege of being permitted to participate in this event, I, individually, (and, if applicable, for my child) and for my (or my child's) personal representatives, heirs and assigns, do hereby -- 

A. Release and forever discharge Lupus Foundation of America (LFA) and its Chapters, and their officers, employees and agents, including sponsors and all personnel involved in the event, from any and all claims liabilities whatsover (including but not limited to, death, medical and hospital expenses), that I (or my child) might sustain as a result of participation in the event. 

B. Agree to indemnify and hold harmless LFA and its Chapters from all cost, expense and liability arising out of my or my child’s participation in this event to benefit the LFA. 

C. Waive all claims for damage or loss to me or my child’s person or property which may be caused by an act, or failure to act, by LFA or one of its Chapters, their officers, agents or employers arising directly or indirectly from my or my child’s participation in this event.

D. Assume all liability for any injury, loss of life, or loss or damage to personal property from such event caused by myself (or my child).  

E. Grant irrevocable and full permission for the LFA and/or one or more of its Chapters to use my name and/or likeness in all media, including (but not limited to) photos, videos, film, web site or any other media or record of this event in which I may appear, for any purpose within LFA's or any of its Chapter's sole discretion.

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Each cyclist is required to "give or get" a donation minimum of $100 in addition to their registration fee. 

Our goal is to raise $40,000, and your support is critical to us achieving our goal.  This is why the additional pledge to raise $100 is so important. If you have not donated yourself to the Lupus Foundation of America, please consider doing so.

Every dollar raised goes toward the free programs and services provided to those living with lupus in your community, as well as research to find a cure.
Take action to fight lupus. Help Us Solve the Cruel Mystery™



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Get your friends to join you
Have {{entryReferralData.goal}} friends sign up using the link below to receive {{entryReferralData.award | currency:"$"}}
Share to Facebook Copy Referral Link

{{crowdriseTeam.entryName}} Charity Event Fundraising on Crowdrise

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