PARENTAL CONSENT, RELEASE AND WAIVER OF
LIABLILIY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
DESCRIPTION AND LOCATION OF EVENT(S)
IN COSIDERATION of my minor child (“the Minor”) being
permitted to participate in any way in the EVENT(S) and/or being permitted to
enter for any purpose and RESTRICTED AREA(S) (defined to be any area which
requires special authorization, credentials or permission to enter or any area
to which admission by the general public is restricted or prohibited), I agree:
- 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).
- I FULLY UNDERSTAND and
will instruct the Minor that: (a) THE ACTIVITIES OF THE EVENT(S) ARE VERY
DANGEROUS and participation in the Event(s) and/or entry info Restricted
Areas involves RISK AND DANGERS OFSERIOUS BODILY INJURY, INCLUDING PERMANENT
DISABLITY, PARALYISI AND DEATH (“RISK”); (b) these Risks and dangers may be
caused by the Minor’s own actions, or inactions, the actions or inactions or
other 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 RISK 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.
- 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 AND/OR DAMAGES FOLLOWING SUCH INJURY,
DISABILITY, PARALYSIS OR DEATH, EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE
NEGLIGENCE OF THE “RELEASEES” NAMED BELOW.
- I HEREBY RELEASE,
DISCHARGE AND COVENANT 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 in any Restricted Area, promoters, 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, and employees, 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
damage to property, CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY
THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE.
- If, despite this
release, I, the Minor, or anyone of the Minor’s behalf, makes a claim
against any of the “Releasees” 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.
- I sign this agreement
on my own behalf and on behalf of the Minor.
WARNING Under Louisiana law, a motorized off-road vehicle
activity sponsor or motorized off-road vehicle professional is not liable for an
injury to or the death of a participant in a motorized off-road vehicle activity
resulting from the inherent risks of the motorized off-road vehicle activity,
pursuant to R.S. 9:2795.4.
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.
I HAVE READ THIS RELEASE
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SIGNATURE OF PARENT OR
GUARDIAN PRINTED NAME OF PARENT OR
GUARDIAN DATE
I HAVE READ THIS RELEASE
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SIGNATURE OF
WITNESS PRINTED NAME
OF WITNESS NAME and AGE OF MINOR PARTICIPANT