San Diego Miata Club Waiver And Release Of Liability printable pdf download

San Diego Miata Club Waiver And Release Of Liability

SAN DIEGO MIATA CLUB WAIVER AND RELEASE OF LIABILITY

Event:___________________________________________ Date:_______________________

All participants read and sign. (Minors must be listed and signed for by a parent or guardian.)

I agree, as a condition of my participation and in consideration thereof, to be solely responsible for any

damage or injury to third parties or to myself resulting from anything connected with the event name

above. I agree to fully indemnify and hold San Diego Miata Club, its officers and representatives harmless

for or in any claim, loss, damage, injury or liability which may be asserted against them by me or by any

third party as a result of my activity. The foregoing covenants of exculpation and indemnity are intended to

be and are complete, general and without restriction and include but are not limited to negligence (active

or passive) or willful, reckless or wanton activity. I further agree that a licensed driver will operate my vehi-

cle and that the driver will comply with all applicable provisions of the California Vehicle Code. I further

warrant that I carry automobile liability insurance on the vehicle to be used in the above named event, that

meets or exceeds all California statutory requirements and liability insurance will be in full force and effec-

tive on the date of the above named event. I also agree that I will not participate in the above named event

under the influence of any alcoholic beverages or drugs that would impair my ability to operate my vehicle.

Print: Driver/Passenger

Signature

License #

Year/Color

Mail forms to: SDMC – Release Form, P.O. Box 180456, Coronado CA 92178

08/2014

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San Diego Miata Club Waiver And Release Of Liability