Release And Waiver Of Liability

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SAMPLE WAIVER
Release and Waiver of Liability,
Assumption of Risk and Indemnity Agreement
EVENT NAME / LOCATION
EVENT DATE (S)
IN CONSIDERATION of being perm itted to com pete, officiate, observe, work for, or participate in any way
in the EVENT(S) or being perm itted to enter for any purpose any RESTRICTED AREA (defined as any
area requiring special authorization, credentials, or perm ission to enter or any area to which adm ission by
the general public is restricted or prohibited including but not lim ited to the com petition area and any hot pit
area), EACH OF THE UNDERSIGNED, for him self, his personal representatives, heirs, and next of kin:
1. Acknowledges, agrees, and represents that he/she has or will im m ediately upon entering any of
such RESTRICTED AREAS, and will continuous thereafter, inspect the RESTRICTED AREAS which he
enters and he further agrees and warrants that, if at any tim e, he is in or about RESTRICTED AREAS and
he feels anything to be unsafe, he will im m ediately advise the officials of such and will leave the
RESTRICTED AREA and/or refuse to participate further in the EVENT(S). I acknowledge that I m ay not
have the opportunity to inspect any RESTRICTED AREA prior to the event.
2. HEREBY RELEASES, W AIVES, DISCHARGES AND COVENANTS NOT TO SUE the
prom oters, participants, racing associations, sanctioning or adm inistrative organizations or any affiliated
entities thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel,
any person in an RESTRICTED AREA, prom oters, sponsors, advertisers, owners, lessors, and lessees of
prem ises used to conduct the EVENT(S), prem ises and event inspectors, surveyors, underwriters, brokers,
consultants and others who give recom m endations, directions, or instructions or engage in risk evaluation
or loss control activities regarding the prem ises or EVENT(S) and for each of them , their directors, officers,
agents and em ployees, all for the purposes herein referred to as “Releasees”, FROM ALL LIABILITY TO
THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL
LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY TO THE
PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR
RELATED TO EVENT(S), W HETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERW ISE.
3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and
each of them FORM ANY LOSS, LIABILITY, DAMAGE, OR COST INCLUDING BODILY INJURY OR
PROPERTY DAMAGE, they m ay incur arising out of m y presence or participation in the EVENT(S),
W HETHER CAUSED BY THE NEGLIGENCE OR THE RELEASEES OR OTHERW ISE .
4. HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY , DEATH
OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE
OF RELEASEES or otherwise.
5. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS
and involve the risk of serious injury and/or death and/or property dam age. Each of THE UNDERSIGNED
also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY
NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
6. HEREBY agrees that this Release and W aiver of Liability, Assum ption of Risk and Indem nity
Agreem ent extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE
OPERATIONS and is intended to be as broad and inclusive as is perm itted by the laws of the Province or
State in which the Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that
the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THIS RELEASE AND W AIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY
W ITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND
MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOW ED BY LAW .
Print nam e
Sign nam e here
General MS-I

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