PARENTAL
CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTON OF RISK, AND INDEMNITY
AGREEMENT
Description
and Location of Event(s): ALL
IN CONSIDERATION of my minor child (“the Minor”) being permitted
to participate in any way in the EVENT(S)
and/or being permitted to enter for any RESTRICTED
AREA(S) (defined to be any area which requires special authorization,
credentials or permission to enter or any area to which admission by the general
public is restricted or prohibited), I agree:
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 TO 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 EVENT(S) ARE VERY DANGEROUS and participation in the
Event(s) and/or entry into Restricted Areas involve RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT
DISABILITY, PARALYSES 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 Risks
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, PARALYSES OR DEATH, EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE
NEGLIGENCE OF THE “RELEASEES” 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 of 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 “Releases,” FROM ALL
LIABILITY TO ME, THE MINOR, my and the minor’s personal representatives,
assigns, 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 “Releases” named above,
I AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES 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 RELEASEES 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 DAMACES FOR LOSSES OCCASIONED
BY THE RELEASEES’ FAULT, AND SIGN IT VOLUNTARILY AND WITHOUT INDUCEMENT.
I HAVE READ THIS RELEASE
_____________________________
_______________________________________
_________
Signature of Parent or Guardian
Printed Name or Parent or Guardian
Date
____________________________
__________________________
____________________
Signature of Witness
Printed Name of Witness
Name of Minor Participant
Description of Event(s):
ALL Date
Released Signed: _____________
I have obtained my parent’s consent to participate in the above event(s). I understand that I am assuming all 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 my 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).
4.
I
ACCEPT AND ASSUME ALL SUCH RISKS OF BEING HURT OR KILLED, and want to be
allowed to participate in the event(s).
I
HAVE READ THE ABOVE ASSUMPTION OF RISK ACLNOWLEDGMENT, UNDERSTAND WHAT I HAVE
READ, AND SIGN IT VOLUNTARILY.
I HAVE READ THIS RELEASE
___________________________________________________
________________________________
Signature of Minor Participant
Date
____________________________________________________
________________________________
Printed Name of Minor Participant
Age
I HAVE READ THIS RELEASE
____________________________________________________
________________________________
Witness
Printed Name of Witness