I, the undersigned participant in the event identified below, am exercising my own free choice to participate voluntarily in “The Million Dollar Bike Ride” for the Orphan Disease Center at the University of Pennsylvania (“the Benefit”). I understand that there are certain risks to my personal safety connected with my participating in the Benefit. I further understand that those risks may result from actions and omissions of other participants in the Benefit, my own possible failure to exercise due care during the Benefit, the presence and operation of motor vehicles on and near the Benefit course, the presence of pedestrians on and near the Benefit course, and other factors. I voluntarily assume the risks described above.

Helmets are required for all cyclists in the Benefit. If cyclist arrives the day of the event without a helmet, he/she will not be allowed to participate.

I promise to take due care during my participation in the event, and hereby release and discharge, indemnify and hold harmless The Trustees of the University of Pennsylvania its members, officers, trustees, agents, employees, volunteers, and any other persons or entities acting on their behalf, and the successors and assigns for any and all of the aforementioned persons or entities, against any and all claims, demands, causes of action whatsoever, whether presently known or unknown, relating to injury, disability, death or other harm, to person or property or both, arising from my participation in and/or presence at the Benefit.

In the event that Participant is injured, Participant agrees to assume any financial obligation, either through Participant’s personal health insurance, or through some other means, for any medical costs which Participant incurs. The Trustees of the University of Pennsylvania assumes no responsibility, financial or otherwise, for any medical expenses, injury, or damage suffered by Participant in connection with the Activity.

I understand that I must be 16 years of age in order to cycle in the Benefit.

I understand that I must be 18 years of age in order to volunteer at the Benefit.

I have read this waiver, understand its meaning and effect, and intend to be legally bound by its terms.

IF PARTICIPANT IS UNDER 18 YEARS OF AGE, THIS WAIVER MUST BE SIGNED BY A PARENT OR GUARDIAN.

I hereby authorize Trustees of the University of Pennsylvania and any authorized employee, agent, volunteer or contractor of Trustees of the University of Pennsylvania to photograph, videotape and/or record in any media my likeness and voice. I understand that any such photograph, videotape or other recording belongs to Trustees of the University of Pennsylvania and that I will not receive any payment or other compensation in connection with such photograph, videotape or other recording.

I hereby give Trustees of the University of Pennsylvania, its employees, agents, successors, assigns, and those acting with its permission or on its behalf, the right and permission to use, copyright, publish, republish, display and distribute any such photograph, video or recording of me for any and all purposes without any additional compensation to me. I agree that Trustees of the University of Pennsylvania may use such photographs, video or other recording in whole or in part, in perpetuity, in any manner and in any media now known or later developed, including but not limited to print media, television media, internet media, film, video and audio, and including in composite or altered form. I understand that the uses may include, without limitation, reproductions on the World Wide Web, in conjunction with any printed or electronic matter, and in connection with any efforts publicizing, promoting or otherwise related to Trustees of the University of Pennsylvania. Further, I understand that my likeness and voice may be used in promotional materials, lectures, articles, textbooks and other educational materials prepared by or for Trustees of the University of Pennsylvania. I waive any right that I may have to inspect or approve the finished products or materials containing my likeness or voice or the printed matter that may be used in connection with such photographs, videos or other recordings.

I agree that personal satisfaction is sufficient consideration for this authorization and release. Intending to be legally bound, for myself and my heirs and assigns, I hereby release Trustees of the University of Pennsylvania, and its trustees, officers, employees, agents and assigns, and waive any and all claims or demands that I may have or acquire against any of them for damages or remuneration in connection with the use of my likeness or voice in the manner and for the purposes described in this authorization and release.

I have read the foregoing authorization and release and warrant that I fully understand its contents and acknowledge that I am signing it voluntarily.

IF PARTICIPANT IS UNDER 18 YEARS OF AGE, THIS WAIVER MUST BE SIGNED BY A PARENT OR GUARDIAN.