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 motorsport event or activity indicated above
and/or being permitted to enter for any purpose any restricted area (herein
defined as any area wherein 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 even, 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 risk and dangers associated with participation
in motorsport 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 could
result from those risk and dangers
described above, could be severe.
(c) These risk and dangers may be caused by the action,
inaction or negligence of the participant
or the action, inaction or negligence of others, including, but limited to, the
"Releasees" named
below.
3.
I/we accept and assume such risk and responsibility for the losses and/or
damages following such in-
jury, 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 COVENANT 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 of premises used to conduct the even and each of them, their officers,
agents, and employees, all
for the purposes herein referred to as "Releasees", from all liability to the
undersigned, my/our 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 "Releasees, or other-
wise.
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 I/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____________________________________________________________________
Printed Name of Parent or Guardian 1
___________________________________________________________
Printed Name of Parent or Guardian 2
___________________________________________________________
Form CL-64