MINOR RELEASE
AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
(READ CAREFULLY BEFORE
SIGNING)
________________________________________________________________
Name of Event Location
Date(s) Held
IN CONSIDERATION of being
allowed to participate in any way in the motor sport event or activity indicated
above and /or being permitted to enter any purpose and restricted area (herein
defined as any area within admittance to the general public is prohibited, the
parent(s) and/ or legal guardian(s) of the minor participant named below agree:
1. The parent(s) and/ or
legal guardian(s) will instruct the minor participant that prior to
participating in the above motorsport activity or event, he or she should
inspect the facilities and equipment to be used, and if he or she believes
anything is unsafe, the participant should immediately advise the officials of
such condition and refuse to participate.
2. I/we fully understand
and acknowledge that:
(a) There are risks and
dangers associated with participation in Motorsports events and activities which
could result in bodily injury, partial and/ or total disability, paralysis and
death.
(b) The social and economic
losses and/or damages, which cold result from those risks and dangers described
above, could be severe.
(c)
These risks and dangers
may be caused by the action, inaction or negligence of the participants or the
action, inaction or negligence of others, including, but not limited to, the
“Releases” named below
(d) There may be other
risks not known to us or are not reasonably foreseeable at the time.
3.I/ we accept and assume
such risks and responsibility for the losses and/or damages following such
injury, disability, paralysis or death, however caused and whether caused in
whole or in part by the negligence of the “Releasees” named below.
4.I/WE HEREBY RELEASE,
WAIVE, DISCHARGE AND CONVENAT NOT TO SUE the promoter, participants, racing
association, sanctioning organization or any subdivision thereof, track
operator, track owner, officials, car owners, drivers, pit crews, any persons in
any restricted area, promoters, sponsors, advertisers, owners, lessees or
premises used to conduct event and each of them, their officers, agents, and
employees, all for the purposes herein referred to as “Releases,” from all
liability to the undersigned, my/out personal representatives, assigns,
executors, heirs and next of kin for any and all claims, demands, losses or
damages on account of any Injury, including but not limited to the death of the
participant or damage to property, caused or alleged to be caused in whole or in
part by the negligence of the “Releases” or otherwise.
5. On behalf of the
participant and individually the undersigned parent(s) and or legal guardian(s)
for the minor participant executes this Waiver and Release. If, despite this
release, the participant makes a claim against any of the “Releasees,” the
parent(s) and or legal guardian(s) will reimburse the “Releasees” and their
insuring company for any money which they have paid to the participant, or on
his behalf, and hold them harmless.
I/WE HAVE READ THE ABOVE
WAIVER AND RELEASE, UNDERSTAND THAT WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT
AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENT.
1.___________________________________________________
_____________________
Parent or Guardian (Signature/Relationship)
Date
2.___________________________________________________
_____________________
Parent or Guardian
(Signature/Relationship) Date
Printed Name of
Participant______________________________________________________________
Address of
Participant___________________________________________________________________
Printed Name of Parent or
Guardian: 1.______________________________________________________
Printed Name of Parent or Guardian: 2.______________________________________________________