Blue Max Kart Club Race #2 requirements on Apr 24, 2016 (715311) | MotorsportReg.com

PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY,
~ ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
DESCRIPTION AND LOCATfON OF EVENT(S)
IN CONSfDERATION of my minor child ("the Minor") being permitted to partIcipate In any way In the EVENT(S) andlor being permitted to enter for any purpose any
RESTRICTED AREA(S) (defined to be any area which requires special authorlzatlon, credentials or permission to enter or any area to which admIssion by the
.. general public Is restricted or prohibited), I agree:
1. I know the nature of the EVENT(S) and the Minor's experience and capabilities, and believe the Minor to be qualified to partiCipate in the Event(s). I will
Inspect the premises, facilities, and equipment to be used, or with which the Minor may come In contact. IF I OR THE MINOR BELIEVE ANYTHING IS UNSAFE, I
WILL INSTRUCT THE MINOR TO IMMEDIATELY LEAVE THE RESTRICTED AREA AND REFUSE TO PARTICIPATE FURTHER IN THE EVENT(S).
2. I FULLY UNDERSTAND and will Instruct the Minor that: (a) THE ACTMTlES OF THE EVENT(S) ARE VERY DANGEROUS and participation In the Event(s) andlor
entry Into Restricted Areas involves RISKS AND DANGERS OF SERIOUS BODilY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH
("RISKsn); (b) these Risks and dangers may be caused by the Minor's own actions, or Inactions, the actions or Inactions of others partiCipating In the Event(s),
the rules of the Event(s), the condition and layout of the premises and equipment, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may
be OTHER RISKS NOT KNOWN TO ME or that are not readily foreseeable at this time; (d) THE SOCIAL AND ECONOMIC LOSSES and/or damages that could
result from those Risk(s) COULD BE SEVERE AND COULD PERMANENTLY CHANGE THE MINOR'S FUTURE,
3, I consent to the Minor's participation In the Event(s) and/or entry into restricted areas and HEREBY ACCEPT AND ASSUME AlL SUCH RISKS, KNOWN AND
UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR THE LOSSES, COSTS ANDIOR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS OR DEATH,
EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW.
. 4. I HEREBY RELEASE, DISCHARGEAND COVENANT NOT TO SUE the promoters, participants, racing aSSOCiations, sanctioning organizations or any s'ubdlvls!on
thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons In any Restricted Area, 'sponsors, advertisers,
owners and lessees of premises used to conduct the Event(s), premises or event Inspectors, surveyors, underwriters, consultants and other persons or
entities 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, employees, representatives, owners, members, affiliates, successors and aSSigns, all for the purposes herein
referred to as "Releasees," FROM ALL LIABILITY TO ME, THE MINOR, my and the minor's personal representatives, aSSigns, heirs, and next of kin, FOR ANY
AND ALL CLAIMS, DEMANDS, lOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE MINOR, Including, but not limited to, death or damaga to
property, CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCEOF THE ~RELEASEES" OR OTHERWISE.
5. If, despite this release, I, the Minor, or anyone on the Minor's behalf, makes a claim against any of the "Refeasees" named above, I AGREE TO INDEMNIFY
AND SAVE AND HOLD HARMLESS THE RELEASEES and each of them from ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS, LIABILITY, DAMAGE, OR COST
THEY MAY INCUR DUE TO THE CLAIM' MADE AGAINST ANY OF THE "RELEASEES" NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF
THE RELEASEES OR OTHERWISE.
6. I sign this agreement on my own behalf and on behalf of the Minor.
I HAVE READ THIS PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT, UNDERSTAND THAT BY SIGNING IT I GIVE UP SUBSTANTIAL RIGHTS I AND/OR THE MINOR WOULD
OTHERWISE HAVE TO RECOVER DAMAGES FOR LOSSES OCCASIONED BY THE RELEASEES' FAULT, AND SIGN IT
VOLUNTARILY AND WITHOUT INDUCEMENT.
ALL SECTIONS MUST BE COMPLETED.
APPLICANT legal Signature: ---"-[Accepted online:....~ ..::.;__ __ Date Per online continue: -


Adult ASSUMPTION OF RISK AND RELEASE
AND WAIVER OF LIABILITY
DESCRIPTION AND LOCATION OF EVENT(S) DATE RELEASE SIGNED
. I understand that I am assuming all of the risks if I get hurt during the
event(s), and I state the following:
1. I believe I am qualified to participate In the event(s). I wIll Inspect the premises and equipment
and If, at any time, I feel anything to be unsafe, I will immediately leave and refuse to participate further in the event(s).
2. I understand that the ACTIVITIESOF       THE  EVENTARE   VERY DANGEROUSand  INVOLVERISKSAND DANGERSOF MY BEINGSERIOUSLYINJUREDACTIVITIESOF THE EVENTARE VERY DANGEROUSand INVOLVERISKSAND DANGERSOF MY BEINGSERIOUSLYINJURED
ORHURT, MY BEING PARALYZEDOR KILLED.
3. I know that these risks and dangers may.be caused by my own actions or inactions, the actions or Inactions of others participating in the
event(s), the rules of the event(s), the condition and layout of the premises and equipment, or the NEGLIGENCE of others, including those
persons responsible for conducting the event(s).
4. I hereby assume all such risks, even If the risks are created by the NEGLIGENCE of the promoters, participants, racing associations,
sanctioning organizations, or any of Its subdivisions, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel,
any persons In any restricted areas, promoters, sponsors, advertisers, owners, and lessees of premises used to conduct the events, 'premises
or event Inspectors, surveyors, underwriters, consultants, and any other person or entity who gives recommendations, directions, or
instructions, or engages In risk evaluation, loss control activities or sales. regarding the premises or events, and each of them, their officers and
employees, all of whIch are referred to as "Releasees."
5. I hereby release, waive, covenant not to sue, and discharge, all of the Releasees from all liability to me, my personal representatives, assigns,
heirs, and next of !<in,for any and all loss or damage and any claim or any demand on account of any injury to me Including, but not limited to,
my death, whether caused by the negligence of the Releasees or otherwise.
I HAVE READ THE ABOVE ASSUMPTION OF RISK AND RELEASE AND WAIVER OF LIABILITY,
UNDERSTAND WHAT I HAVE READ, AND SIGN IT VOLUNTARILY.
ALL SECTIONS MUST BE COMPLETED.
APPLICANT Legal Signature: ~ Accepted Online' Date: _
Applicant Printed Name: _