2003 Big Dawg
Challenge Official Entry Form Page 2 |
RELEASE
AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT (MUST ACCOMPANY
ENTRY FORM*)
|
IN CONSIDERATION of being permitted to
compete, officiate, observe, work for, or participate in any in the Event(s) or being
permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring
special authorization, credentials or permission to enter or any area to which admission
by the general public is restricted or prohibited), EACH OF THE UNDERSIGNED, for himself,
his personal representatives, heirs, and next of kin;
1. Acknowledges, agrees, and represents that he has or will immediately
upon entering any of such RESTRICTED AREAS, and will continuously thereafter, inspect the
RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advisee the
officials of such and if necessary will leave the RESTRICTED AREAS and/or refuse to
participate further in the EVENT(S).
2. HEREBY RELEASES, WAIVESS, DISCHARGES, AND COVENANTS NOT TO SUE the
promoters, participants, racing associations, sanctioning organizations or any subdivision
thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue
personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners
and lessees of the premise used to conduct the EVENT(S), premises and event inspectors,
surveyors, underwriters, consultants and others who give recommendations, directions, or
instructions or engage in risk evaluation or loss control activities regarding the
premises or EVENT(S) and each of them, their directors, officers, agents and employees,
all for the purposes herein referred to as, "Releases" 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 THE
EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releases
and each of the FROM ANY LOSS, LIABILITY, DAMAGE OR COST they may incur arising out of or
related to the EVENT(S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
4. HEREBY ASSUMES FULL RESPONNSIBILITY FOR ANY RISK OR 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 acknowledge that the ACTIVITIES OF THE EVENT(S) ARE VERY
DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each
of the UNDERSIGNED, also expressly acknowledge that INJURIES RECEIVED MAY BE COMPOUNDED OR
INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
6. HEREBY agrees that this Release and Waiver of Liability, Assumption
of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees,
INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is
permitted by the laws of the Province or State in which the Event(s) 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 WAIVER 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 WITHOUT 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 ALLOWED BY LAW. |
ALL SECTIONS
MUST BE COMPLETED
____________________________________
_________________________________
Printed Name
Signature
Date Signed: _________________________ |
| COMPLETE THIS ENTRY BLANK & RETURN
TO: PASS RACING, INC. 195 LAKEHOUSE RD, NAPLES ME 04055 |
GO TO Page 1 of the Big Dawg Entry Form
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