Waiver And Release Of Liability And Indemnity Agreement Form Page 2

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I am aware that outdoor recreational activities involving the use of ATV’s can be hazardous.
I understand that I may sustain loss, damage or injury to person or property resulting from or in any
way connected with transporting or use of equipment furnished by Talsma or their agents. I
understand that the use of an ATV and related equipment furnished by Talsma constitutes an
acceptance of said equipment on a lease basis “AS IS”. I agree to pay for any damage done to said
equipment or property of others.
If I fail to return any or all equipment used by me in the participation of the recreational
activity, I agree to reimburse Talsma for the amount of replacement cost. If Talsma is required to
search for property or equipment used by me in the participation of this activity due to irresponsible
actions by me, I will pay for said search.
I HAVE READ, UNDERSTOOD, AND VOLUNTARILY AGREE TO THIS WAIVER AND
RELEASE OF LIABILITY AND INDEMNITY AGREEMENT. I FURTHER AGREE THAT
NO ORAL STATEMENTS, REPRESENTATIONS OR INDUCEMENTS APART FROM
THIS WRITTEN AGREEMENT HAVE BEEN MADE TO ME TO OBTAIN MY CONSENT.
**This release shall be effective from _________________ to 12-31-20____.**
Releasor/Participant’s Signature: _____________________________
Printed Name of Releasor: __________________________________
If the Releasor/Participant is under age 18, the signature of Agreement by a Parent or Legal Guardian
is also required:
Minor’s Date of Birth: ___________________
Signature of Releasor/Participant’s Parent or Legal Guardian: _______________________________
Printed Name of Parent of Legal Guardian: ______________________________________________
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