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| WHEELIN IN THE COUNTRY, INC. |
| Liability Release Waiver Form |
| Waiver must be signed by all participants! |
| Under 18 must be signed by parents!! |
| PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING |
| You are responsible for your actions while driving and participating in this event. |
| You must decide your driving ability and what you are your vehicle are capable of doing. |
| Wheelin’ In The Country is not responsible for any accidents. |
In consideration of any event sponsored, promoted or directed by Wheelin’ In The Country, Inc., the undersigned for himself, his personal representative, heirs, and next of kin HEREBY RELEASES the corporation, officers, directors, promoters, sponsors, employees, landowners, and agents of the corporation of all liability to the undersigned, whether caused by the negligent act, or omission of Releasees or otherwise while the undersigned is for any purpose participating in such an event. It is fully understood by each of the undersigned that there is inherent risk associated with this event, including damage to vehicles, and I, the undersigned, fully assume the risks involved.
IN ADDITION, the undersigned AGREES TO INDEMNIFY, AND HOLD HARMLESS the
Releasees from any loss, liability
damage, or cost they incur due to such participation by the undersigned, whether
caused by Releasees negligence or otherwise and AGREES TO ASSUME FULL
RESPONSIBILITY AND RISK for any bodily injury, death, or property damage from
the Releasees negligence or otherwise while the undersigned is participating in
this event. The waiver must be
signed if you agree to allow Wheelin’ In The Country, Inc. to use your name,
photos of you and/or your vehicle for the publicity, advertisement,
endorsements, magazine articles or as deemed appropriate for off road motor
sports.
In
signing this release, the undersigned hereby acknowledges and represents the
following:
PLEASE
BE SAFE AND FEEL FREE TO ASK ANY OF OUR TRAIL LEADERS ANY QUESTIONS YOU MIGHT
HAVE ABOUT ANY OF THE TRAILS AND THEIR DIFFICULTY!! PLEASE RESPECT OTHERS AND
THE LANDOWNERS OF THE PROPERTY YOU ARE ON.
| SIGNATURE _____________________________________________________ |
|
(If under 18, a parent or guardian must be present
to sign) |
DRIVERS
LIC. # __________________________________________________
Witness
_________________________________
Witness _________________________________