Accident Waiver And Release Of Liability Form (Page 2 of 2) in pdf

or failures to act of any party or entity conducting a specific activity on their behalf.

I hereby consent to receive medical treatment which may be deemed advisable in

the event of injury, accident, and/or illness during this activity.

I understand while participating in this activity, I may be photographed. I agree to

allow my photo, video, or film likeness to be used for any legitimate purpose this

authorizing entity decides, and assigns. Such uses may include but are not limited

to posting on social media.

This Accident Waiver and Release of Liability shall be governed and interpreted

in accordance with the laws of the State of California. Any action, proceeding or

litigation concerning my participation in this activity may only be brought in Los

Angeles County, California, and I hereby agree that the courts of Los Angeles County,

California, shall have exclusive jurisdiction over me and the subject matter of any

such proceeding. I further agree that any and all disputes or controversies arising

under or relating to this Accident Waiver and Release of Liability or any of its terms,

any effort of any party to enforce, interpret, construe, rescind, terminate or annul this

Accident Waiver and Release of Liability, or any provision thereof, and any and all

disputes or controversies arising under or related to my participating in this event shall

be resolved by binding arbitration in accordance with the then current Commercial

Arbitration Rules of the American Arbitration Association, through its Los Angeles,

California office. I agree that the arbitrator’s ruling, or arbitrators’ ruling, as applicable,

in the arbitration shall be final and binding and not subject to appeal or challenge.

The Accident Waiver and Release of Liability Form shall be construed broadly to

provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND

ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A

CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

If Participant is under 18 years of age:

I am the parent or legal guardian of the Participant. I understand the legal

consequences of signing this document, including (a) releasing Race/LA from

all liability, (b) promising not to sue Race/LA, (c) and assuming all risks of

participating in this activity. I understand that I am responsible for the obligations

and acts of Participant as described in this document. I agree to be bound by

the terms of this document. I have read this document, and I am signing it freely.

No other representations concerning the legal effect of this document have been

made to me.

SIGNED (Minor Participant’s Parent or Guardian):

_______________________________________________________________________

PRINT NAME __________________________________

DATE _______________

PRINT MINOR PARTICIPANT’S NAME ____________________________________

Accident Waiver And Release Of Liability Form Page 2