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 ___________________________________________
