Muggaccinos’ Liability Acknowledgement Ride Sign-On Sheet
Ride: ___________________________________________        __ / __ / ‘98

I am aware that cyclists get killed on NSW roads each year.   I am aware that Phil Johnston has no professional indemnity cover as a volunteer organiser of a dangerous activity who invites members of the public to participate.   As a voluntary participant, I accept that if, at any time, I have cause to disagree with any of the obligations contained in www.muggaccinos.com – Risk Warning – Liability Acknowledgement, I will create a hardcopy of Liability Acknowledgement and amend or delete any clause(s) which I disagree with, sign the hardcopy and deliver it to Phil Johnston as Ride Organiser.

 

#	Name	Off-ride Contact Phone	On-ride Mobile Phone No.	Contact Details Address or e-mail	Signature	BNSW Memb. Exp Date	BNSW Memb. #
1	Phil Johnston	9498.3684	0404014725	ScribePJ@tpg.com.au		07/05	9455
2
3
4
5
6
7
8
9
10
11
12