Minor
Release Form
READ CAREFULLY THIS IS A RELEASE
MINOR
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY
AGREEMENT
20/20 Racing Academy
DATE: ____/____/____
I
/ WE HEREBY RELEASE, WAIVE, COVENANT NOT TO SUE AND
DISCHARGE the promoter, participants, racing
associations, sanctioning organization or any
subdivision thereof, track operator, track owner,
officials, vehicle owners, riders, pit crew, any
persons in any restricted area, promoters, sponsors,
advertisers, owners, lessee of premises used to
conduct the event and each of them, their officers
and employees, all for the purposes therein referred
to as "Releasees," from all liability to
the undersigned, my/our personal representatives,
assigns, heirs and next of kin for any and all loss
or damage and any claim or any demand on account of
any injury to the participant included, but not
limited to, death whether caused by the negligence of
the "Releasees", or otherwise while the
minor is in or upon the restricted area and/or
competing, officiating in, observing, working for or
for any purpose participating in the event.
I/we
will inform and instruct the said minor participant
that upon entering any restricted area the minor must
be continuously thereafter inspect such restricted
area and all portions thereof which the minor enters
and with which he comes in contact and I/we further
warrant that the minor's entry upon such restricted
area or areas and his participation, if any, in the
event constitutes an
acknowledgement
that he, (minor), has inspected such restricted area
and that he finds and accepts the same as being safe
and reasonably suited for the purposes of his use,
and he further agrees and warrants that if, at any
time, he is in our about restricted areas and if he
feels anything is unsafe, he will immediately advise
the officials of such and will leave the restricted
areas.
The
undersigned expressly acknowledge and agree that the
activities of the event are very dangerous and
involve the risk of serious injury and/or death
and/or property damage.
Each
of the undersigned parents or legal guardians for the
minor participant agrees to indemnify and save and
hold harmless the "Releasees", and each of
them for any loss, liability, damage or cost they may
incur due to the presence of the said minor in or
upon the restricted area or in any way competing,
officiating, observing or working for any purpose
participating in the event and
caused
by the negligence of the "Releasees" or
otherwise.
THE
UNDERSIGNED PARENTS OF LEGAL GUARDIANS HAVE READ AND
VOLUNTARILY SIGN THE MINOR RELEASE AND WAIVER OF
LIABILITY AND INDEMNITY AGREEMENT AND FURTHER AGREE
THAT NO ORAL REPRESENTATIONS, STATEMENTS OR
INDUCEMENTS APART FROM THE FOREGOING WRITTEN
AGREEMENT HAVE BEEN MADE.
PRINT
NAME OF PARTICIPANT
_________________________________________________
PRINT
NAMR MOTHER/FATHER OR
GUARDIAN____________________________________
SIGNATURE
_________________________________________________________
WITNESS
___________________________________________________________
STREET:
____________________________CITY:____________________________
STATE:
_____________________ ZIP: __________________
MINOR'S UNDERSTANDING FORM
I
HAVE DISCUSSED THE EVENT THAT I WISH TO PARTICIPATE
IN WITH MY PARENTS OR LEGAL GUARDIANS AND THEY HAVE
EXPLAINED TO ME THE POSSIBILITY OF MY BEING INJURED.
I UNDERSTAND WHAT THEY HAVE EXPLAINED TO ME, AND I
KNOW THAT I COULD BE INJURED, POSSIBLY SEVERE, OR
EVEN WORSE.
I
AM WILLING TO ASSUME THE RESPONSIBILITY OF THIS IN
ORDER TO BE A PARTICIPANT IN THE EVENT THAT I WISH TO
PARTICIPATE IN.
I
ALSO AGREE THAT, AT ANY POINT, IF I FEEL ENDANGERED
EITHER BY MY OWN ACTIONS OR THOSE OF OTHERS, THAT I
AM FREE TO WITHDRAW FROM THE EVENT, AND WILL DO SO OF
MY OWN FREE WILL.
I
KNOW THAT I AM NOT GIVING UP ANY OF MY RIGHTS AND
THAT IT IS OK FOR ME TO PARTICIPATE. I HAVE READ THE
ABOVE ASSUMPTION OF RISKS. I FULLY UNDERSTAND WHAT IT
MEANS, AND HAVE SIGNED IT VOLUNTARILY.
PRINT
MINOR'S NAME ______________________________________________________
MINOR'S
SIGNATURE
_______________________________________________________
DATE:
__________/__________/___________
MOTHER'S/FATHER’S
SIGNATURE
____________________________________________
OR
LEGAL
GUARDIAN'S SIGNATURE ___________________________________________
