Fillable Printable Release of Liability Form Sample

Release of Liability Form Sample

SAMPLE WAIVER

Release and Waiver of Liability,

Assumption of Risk and Indemnity Agreement

EVENT NAME / LOCATION EVENT DATE (S)

IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way

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 including but not limited to the competition area and any hot pit

area), EACH OF THE UNDERSIGNED, for himself, his personal representatives, heirs, and next of kin:

1. Acknowledges, agrees, and represents that he/she has or will immediately 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 time, he is in or about RESTRICTED AREAS and

he feels anything to be unsafe, he will immediately 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 may not

have the opportunity to inspect any RESTRICTED AREA prior to the event.

2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the

promoters, participants, racing associations, sanctioning or administrative organizations or any affiliated

entities thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel,

any person in an RESTRICTED AREA, promoters, sponsors, advertisers, owners, lessors, and lessees of

premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, brokers,

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 for each of them, their directors, officers,

agents and employees, 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), WHETHER 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 may incur arising out of my presence or participation in the EVENT(S),

WHETHER CAUSED BY THE NEGLIGENCE OR THE RELEASEES OR OTHERWISE .

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 damage. 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, 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) 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 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.

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