PARENTAL CONSENT,
RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF
RISK, AND INDEMNITY AGREEMENT
IN CONSIDERATION of my minor
1.
I know the nature of the
EVENT(S) and the Minor's experience and capabilities, and believe the Minor to
be qualified to participate in the Event(s). I will inspect the premises,
facilities, and equipment to be used, or with which the Minor may come in
contact. IF I OR THE MINOR BELIEVE ANYTHING IS UNSAFE, I WILL INSTRUCT THE
MINOR TO IMMEDIATELY LEAVE THE RESTRICTED AREA AND REFUSE TO PARTICIPATE
FURTHER IN THE EVENT(S).
2. I FULLY UNDERSTAND and will instruct the Minor
that: (a) THE ACTIVITIES OF THE EVENTS) ARE VERY DANGEROUS and participation in
the Event(s) and/or entry into Restricted Areas involves RISKS AND DANGERS OF
SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH
("RISKS"); (b) these Risks and dangers may be caused by the Minor's
own actions, or inactions, the actions or inactions of others participating in
the Event(s), the rules of the Event(s), the condition and layout of the
premises and equipment, or THE NEGLIGENCE OF THE "RELEASEES" NAMED
BELOW; (c) there may be OTHER RISKS NOT KNOWN TO ME or that are not readily foreseeable
at this time; (d) THE SOCIAL AND ECONOMIC LOSSES and/or damages that could
result from those Risk(s) COULD BE SEVERE AND COULD PERMANENTLY CHANGE THE
MINOR'S FUTURE.
3. I consent to the Minor's participation in the
Event(s) and/or entry into restricted areas and HEREBY ACCEPT AND ASSUME ALL
SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR THE LOSSES,
COSTS AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS OR DEATH,
EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE
"RELEASEE'S" NAMED BELOW.
4. I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO
SUE the promoters, participants, racing associations, sanctioning organizations
or any subdivision thereof, track operators, track owners, officials, car
owners, drivers, pit crews, rescue personnel, any persons in any Restricted
Area, promoters, sponsors, advertisers, owners and lessees of premises used to
conduct the Event(s), premises or event inspectors, surveyors, underwriters,
consultants and other persons or entities who give recommendations, directions,
or instructions or engage in risk evaluation or loss control activities
regarding the premises or Event(s) and each of them, their directors, officers,
agents, and employees, all for the purposes herein referred to as
"Releasee's," FROM ALL LIABILITY TO ME, THE MINOR, my and the minor's
personal representatives, assigns, heirs, and next of kin, FOR ANY AND ALL
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE
MINOR, including, but not limited to, death or damage to property, CAUSED OR
ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE
"RELEASEES" OR OTHERWISE.
5. If, despite this release, I, the Minor, or
anyone on the Minor's behalf, makes a claim against any of the "RELEASEES"
named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE
"RELEASEE'S" and each of them from ANY LITIGATION EXPENSES, ATTORNEY
FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE
AGAINST ANY OF THE "RELEASEES" NAMED ABOVE, WHETHER THE CLAIM IS
BASED ON THE NEGLIGENCE OF THE "RELEASEE'S" OR OTHERWISE.
6. I sign
this agreement on my own behalf and on behalf of the Minor.
I HAVE READ THIS PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, UNDERSTAND THAT BY SIGNING IT I
GIVE UP SUBSTANTIAL RIGHTS I AND/OR THE MINOR WOULD OTHERWISE HAVE TO RECOVER
DAMAGES FOR LOSSES OCCASIONED BY THE "RELEASEE'S" FAULT, AND SIGN IT
VOLUNTARILY AND WITHOUT INDUCEMENT.
I HAVE READ
THIS RELEASE
_______________________________________________
_____________________________________________
__________________________________________
SIGNATURE
OR PARENT OF GUARDIAN PRINTED
NAME OF PARENT OR GUARDIAN DATE
I HAVE READ
THIS RELEASE
_______________________________________________
_____________________________________________
__________________________________________
SIGNATURE
OR WITNESS PRINTED
NAME OF WITNESS NAME
and AGE OF MINOR PARTICIPANT
MINOR'S
ASSUMPTION OR RISK ACKNOWLEDGEMENT
_____________
DATE RELEASE SIGNED
I have obtained my parent's consent to participate in the
above event(s). I understand that I am assuming all of the risks if I get hurt
during the event(s), and I state the following:
1.
Both my
parents and I believe I am qualified to participate in the event(s). I will
inspect the premises and equipment and if, at any
time, I feel
anything to be unsafe, I will immediately leave and refuse to participate
further in the event(s).
2. I understand that
the ACTIVITIES OF THE EVENT ARE VERY DANGEROUS and INVOLVE RISKS AND DANGERS OF
MY BEING SERIOUSLY INJURED OR HURT, MY BEING PARALYZED OR KILLED.
3. I know that these risks and dangers may be
caused by my own actions or inactions, the actions or inactions of others
participating in the event(s), the rules of the event(s), the condition and
layout of the premises and equipment, or the negligence of others, including
those persons responsible for conducting the event(s).
I HAVE READ THE ABOVE ASSUMPTION OF RISK ACKNOWLEDGEMENT, UNDERSTAND
WHAT I HAVE READ, AND SIGN IT VOLUNTARILY.
I HAVE READ THIS
RELEASE
SIGNATURE OF
MINOR PARTICIPANT DATE
I HAVE READ THIS RELEASE
PRINTED
NAME OF MINOR PARTICIPANT AGE
I HAVE READ THIS RELEASE
WITNESS PRINTED NAME OF WITNESS
For
annual release, witness must be a Notary