RELEASE AND WAIVER OF LIABILITY ASSUMPTION OF RISK AND
INDEMNITY AGREEMENT
Dover Dirt Trails 3943 Mt. Pleasant Rd Dover, OH 44622
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, trails, parking
lot area, camping area or any area considered to be 3943 Mt. Pleasant RD, Dover, OH 44622), EACH OF THE UNDERSIGNED, for himself,
his personal representatives, heirs, and next of kin:
(1) Acknowledges,
agrees and represents that either I, the undersigned either adult, or parent/guardian signing for minor will immediately upon
entering any such RESTRICTED AREAS, and will continuously 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 prior to the event.
(2) I, the undersigned either adult or parent/guardian
of minor HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, sanctioning
or administrative organizations or any affiliated entities thereof, track operations, track owners, officials, car owners,
drivers, pit crews, rescue personnel, and any persons in any 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 “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 THE ACCOUNT OF INJURY TO THE
PERSON OR PROPERTY OR RESULTING IN THE DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED
BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
(3) I,
the undersigned, either adult or parent/guardian of minor HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASEES
and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST INCLUDING BODILY INJURY OR PROPERTY DAMAGE they may incur arising
our of my presence or participation in the EVENT(S) whether caused by the NEGLIGENCE OF THE RELEASEES or otherwise.
(4) I, the undersigned, either adult or parent/guardian
of minor 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 THE RELEASEES or otherwise.
(5) I, the undersigned, either adult or parent/guardian of minor 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) I,
the undersigned, either adult or parent/guardian of minor HEREBY agrees that this Release and Waiver of Liability, Assumption
of Risk and Indemnity Agreements extends to all acts of negligence by the RELEASEES, INCLUDING NEGLIGENT RESCUE OPERATIONS
and it 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, not withstanding, continue
in full legal force and effect.
I,
THE UNDERSIGNED, EITHER ADULT OR PARENT/GUARDIAN OF MINOR 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 ALLOWED BY LAW.
(Adult)Print Name: __________________________Signature:
_________________________Date: _______
Address:
_____________________ City ______________________ State________________ Zip ____________
I, the adult rider, takes full responsibility for the below listed,
either passenger or minor riding his/her own bike:
1. Name: _______________________________ D.O.B._________________Address (if not the same as above)__________________
2. Name: _______________________________ D.O.B._________________Address
(if not the same as above)__________________
