Please select ONE Give It A Whirl Location. 

(Limit one program per participant)

*

  • AR - Bentonville Give It A Whirl

    AR - Bentonville Give It A Whirl [Sold Out]

    Monday 9/27 - Blowing Springs Park, Bella Vista from 5:30 -7:30 PM



Family & Emergency Information


Participant Information

  • Has not yet ridden a bike

  • Recently learned to ride a bike

  • Rides pavement frequently, and has never or rarely ridden on trails or dirt paths

  • Comfortable riding wide dirt paths

  • Enjoys riding mellow, mostly smooth single track. Starting to learn to climb and decends.

  • Navigates well on trails with climbs and descents, tight trees, rocks, and/or mud


Liability & Media Releases

The liability and media release agreements below must be e-signed on behalf of the participant by a legal guardian.

As consideration for the participant (named below, the “Participant”) being allowed to engage in Little Bellas programs and activities (the “Activities”), I, for myself, my heirs, personal representatives and assigns, hereby release, discharge and covenant not to sue Bellas Mentoring, Inc. d/b/a Little Bellas, its directors, agents, officers, volunteers, employees, other participants, officials, rescue personnel, sponsors, advertisers, and all owners and lessees (and their respective directors, agents, officers, volunteers, and employees) of any lands, premises or facilities used in connection with the Activities (collectively, the “Released Parties”), from all liability, claims, demands, losses, or damages arising out of participation in the Activities, including such liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by the negligence of the Released Parties.

I fully understand that: (a) the Activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis, and death (“Risks”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activities, the condition of the lands, premises and facilities in which the Activities take place, or the negligence of the Released Parties, among other factors; (c) there may be other risks or social or economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation in the Activities.

I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. All references to “I” or “me” or other first-person pronouns herein shall be construed to include any Participant on whose behalf this release of liability and assumption of risk has been executed.
I acknowledge that I have read and that I understand and agree to comply with the terms set forth in the LB Covid-19
Guidance [https://littlebellas.com/covid-19-guidance/]. I further acknowledge that Little Bellas cannot eliminate all risk in relation to Covid-19 in
connection with participation in its programs.  By agreeing to send my child to this program or to volunteer, I
acknowledge and assume responsibility for this risk.
The allergy and medical information I have provided about the named participant (the “Participant”) is true and complete, and the Participant is physically able to participate in the sport of mountain biking. I hereby give consent to Little Bellas to administer first aid (including over-the-counter remedies like Tylenol, Advil, or Sudafed) to Participant in the event of injury or illness, and if necessary, to arrange emergency medical or surgical treatment or hospitalization. I understand that Little Bellas will attempt to contact me, or the named second emergency contact, in the event emergency care may be necessary. Little Bellas may disclose Participant allergy and medical information as reasonably necessary in order to provide or arrange any medical attention Participant may require. I acknowledge and agree that I will be financially responsible for any medical attention Participant requires in connection with any injury received or illness suffered while engaging in Little Bellas programs or activities. My medical insurance shall be the insurance coverage for any medical treatment. I, for myself, my heirs, personal representatives and assigns, hereby release, discharge and covenant not to sue Bellas Mentoring, Inc. d/b/a Little Bellas, its directors, agents, officers, volunteers, employees and other participants (collectively, the “Released Parties”), from all liability, claims, demands, losses, or damages arising out of first aid or medical treatment administered to Participant or arranged for Participant by any Released Party, including such liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by the negligence of any Released Party. I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER, HAVE READ THIS MEDICAL RELEASE AND CONSENT TO TREATMENT AND FULLY UNDERSTAND ITS TERMS, AND I AGREE THAT IF ANY PORTION HEREOF IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. All references to “I” or “me” or other first-person pronouns herein shall be construed to include the Participant on whose behalf this Medical Release and Consent to Treatment has been executed.

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies, video and audio recordings (collectively, the “Products”) of the participant named below (the “Participant”) by Bellas Mentoring, Inc. d/b/a Little Bellas (“Little Bellas”) and its duly authorized agents, employees and contractors, and I also grant to Little Bellas the right to edit, use, and reuse said Products for non-profit purposes including use in print, on the internet, and all other forms of media. I hereby waive any right to inspect or approve the finished Products or any published matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the Products.

I also hereby release, discharge, and agree to hold harmless Little Bellas and all persons acting under its permission or authority, from any claims, damages or liability arising from the use of the Products, including but not limited to misuse, blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking, processing, reduction or production of such Products or in any subsequent processing of them, as well as any publication or distribution of them, including without limitation any claims for libel or violation of any right of publicity or privacy. This consent and release shall be binding upon me and my heirs, legal representatives, and assigns.

I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER, HAVE READ THIS MEDIA CONSENT AND RELEASE AND FULLY UNDERSTAND ITS TERMS, AND I AGREE THAT IF ANY PORTION OF THIS CONSENT AND RELEASE IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. All references to “I” or “me” or other first-person pronouns herein shall be construed to include any Participant on whose behalf this media consent and release has been executed.

  • Please don't put the participant's photo on any digital or printed Little Bellas materials.


Help Us Empower More Girls

We are excited to offer this free program.  Donations are vital to covering the cost of programs such as these.  Every dollar counts!  Please consider making a donation to allow this program to exist in your community.

$20 - Average Mentor background check

$38 - Average Mentor first aid training

$25- Average cost per participant in this program

100% of your donation goes to making this program run.

$


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