Proceeds Benefit St Jude Children's Research Hospital
Quantity of Patches, Pins and T-Shirts Available on site will
Be Limitied!
RELEASE AND WAIVER OF LIABILITY
AND INDEMNITY AGREEMENT
To participate in 2011 Georgia State SCRC Rally,
you are required to fully read and sign the following
waiver of liability.
Date: 01 February 2011
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT IN CONSIDERATION for being permitted to participate in the 2011 Georgia State SCRC Rally, benefitting St. Jude’s Children’s Hospital sponsored by the Southern Cruisers Riding Club in Commerce, GA the weekend of July 15th - July 17th, 2011.
THE UNDERSIGNED PARTICIPANTS:
1. HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE The Southern Cruisers Riding Club, owners and lessees of premises used to conduct the event and each of them, their officers and employees, The State of Georgia, the dealers, officers, directors, management, officials and volunteers assisting in the event, the sanctioning organization or any subdivision thereof, grounds operators, grounds owner, officials, promoters, sponsors, advertisers; all for the purpose herein referred to as “releasees,” from all liability to the undersigned, their 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, whether caused by the negligence of the releasees or otherwise while the undersigned is participating in the event;
2. HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage, or cost (including attorney’s fees) they may incur due to the presence of the undersigned participating in the event and whether caused by the negligence of the releasees or otherwise.
3. THE UNDERSIGNED PARTICIPANTS agree that while participating in this event, the use of alcohol or any substance which affects the ability to operate or control his or her vehicle or may be considered as hazardous to the health and safety of participants and spectators is strictly forbidden.
4. THE UNDERSIGNED AGREES that he or she will not use or operate any vehicle in violation or contravention of any City, County, State or Federal laws, statures, ordinances or regulation and shall be personally liable for all fines and penalties for traffic law violations.
5. HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to the negligence of releasees or otherwise while participating in the event. EACH OF THE UNDERSIGNED expressly acknowledges and agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by law of the State in which it is operated in and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. By my electronic signature hereto, I acknowledge that I have read the above RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and that I concur in its entirety, and further agree that no oral representations, statements or inducements apart from the foregoing written agreement have been made.
Rider's Acknowledgement *
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Passenger's Acknowledgement *
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To save time at the rally, you can sign your name in the box above, exactly as it appears
on your photo ID, as your signature to the Release and Waiver
of Liability and Indemnity Agreement, and then print it out. Otherwise you will need to sign a copy of this release on site.
To print your Release and Waiver Agreement, click the PRINT button below :