Just Me

Please read and check the box to indicate you have read and understand all the terms of the release.

I acknowledge and agree that the “Tip to Tip for Africa 2012" in support of The Townships Project (herein after referred to as the “Program”) is a potentially hazardous physical training, exercise, and biking program and that my participation in the Program may subject me to risks of serious physical injury or illness.

I acknowledge and warrant that I have been advised to consult with my own physician on my ability to participate in the Program, that I am medically fit to do so, and that I will be solely responsible for my own safety while engaged in any activities related to the Program.

I understand that the Program has engaged a trainer to recommend a method of preparation for the “Tip to Tip for Africa 2012”, which information is available at www.tip2tip4africa.org. Any instruction, direction or other guidance provided by the trainer is not mandatory and I will exercise my own judgment in the acceptance and application of that instruction, direction or guidance.

In consideration of being allowed to participate in the Program, I hereby expressly assume all risks - including serious injury, illness, and death - associated with the Program or related activities, including without limitation, all risks related to training, participation, weather/atmospheric conditions, course conditions, travel to or from Program events or activities, and other assistance made available to me in the Program.

I agree to act responsibly as a member of the “Tip to Tip for Africa 2012” Team. I understand that my name and my photograph may be associated with The Townships Project and I give my consent for such use from time to time as The Townships Project may consider appropriate.

Having read and understood this agreement and waiver, and for myself, my heirs, executors and administrators, I hereby waive, release, discharge and hold harmless The Townships Project, its affiliated offices, and their respective officers, directors, employees, volunteers, and agents, and all sponsoring organizations and business associated with the Program, and their respective officers, directors, employees, volunteers, and agents, from any and all claims, liabilities, demands, expenses, and causes of action that I may have, or that may hereafter accrue to me, that in any way relate to or arise from my participation in the Program or its related activities and including without limitation, all claims for medical expenses or treatment, personal injury, illness, death, or property damage.

I agree and acknowledge that I am over 18 years of age (or that my parent/guardian will accompany me and is signing this on my behalf); that I have read this agreement and understand its terms and conditions; and, that if any portion of it is held invalid, the balance shall continue in full force and effect.

Please read and check the box to indicate you have read and understand all the terms of your responsibilities.

1. I understand that all cheques from sponsors should be made out to The Townships Project.

2. If I do not complete the Program for any reason, I realize that all money raised will remain with the charity, as tax receipts will have been issued for it. If I am unable to participate in “Tip to Tip for Africa 2012” due to injury or other personal conflicts, I understand that I may participate in the “Tip to Tip for Africa 2013” if, as and when it occurs and that funds raised will be applied to the new program.

3. I will keep track of all donations and send a thank you note to each donor.

4. I realize that I need to deposit my fundraising goal by October 2nd, 2012. If I have not reached this goal and unless I have notified you in writing prior to that date that I no longer wish to participate, then I commit to covering the difference personally by October 2nd, 2012. I understand that I will receive a tax receipt for the amount of my personal contribution.

5. I understand The Townships Project will provide each “Tip to Tip for Africa” participant with benefits as described in the Information Package, subject to changes which circumstances may require. I also understand meals, local transportation, parking, and sundry other activities, as well as additional charges resulting from changes in my travel arrangements, are my responsibility unless otherwise noted.

6. I will check in with the Designated Shepherd (the Shepherd’s role is to ensure the safety of all biking participants) on the “Tip to Tip for Africa” each day as I start the ride and check out each day at the end of my ride. I understand it is my responsibility to ensure that the Designated Shepherd knows when I have started the ride and finished it each day for safety reasons.

7. I understand the accommodation included in this package is for 2 sharing. I agree to make separate arrangements, for which I will pay an extra $50 per night if such accommodation does not suit me.

8. I understand that I will have the experience of a lifetime, increase my physical fitness, meet new people, and learn how I am helping people help themselves out of poverty!

Please indicate a preferred roommate, if any, and pick your transportation options.