Date:
_____________
RELEASE
AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
IN CONSIDERATION for being permitted to participate in ________________________________ sponsored by the Florida Southern Cruisers, Inc.
Club Miles
to be credited____________
THE UNDERSIGNED
PARTICIPANTS:
1. HEREBY RELEASE, WAIVE, DISCHARGE
AND COVENANT NOT TO SUE The Southern Cruisers Riding Club, owners and lessees
of premises used to conduct the event and each of them, their officers and
employees, The State of Florida, the dealers, officers, directors,
management, officials and volunteers assisting in the event, the sanctioning
organization or any subdivision thereof, grounds operators, grounds owner,
officials, promoters, sponsors, advertisers; all for the purpose herein referred
to as “releasees,” from all liability to the undersigned, their 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, whether caused by the
negligence of the releasees or otherwise while the undersigned is participating
in the event;
2.
HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and
each of them from any loss, liability, damage, or cost (including attorney’s
fees) they may incur due to the presence of the undersigned participating in
the event and whether caused by the negligence of the releasees or otherwise.
3.
THE UNDERSIGNED PARTICIPANTS agree that while participating in this
event, the use of alcohol or any substance which affects the ability to operate
or control his or her vehicle or may be considered as hazardous to the health
and safety of participants and spectators is strictly forbidden.
4.
THE UNDERSIGNED AGREES that he or she will not use or operate any
vehicle in violation or contravention of any City, County, State or Federal
laws, statures, ordinances or regulation and shall be personally liable for all
fines and penalties for traffic law violations.
5.
HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH
OR PROPERTY DAMAGE due to the negligence of releasees or otherwise while
participating in the event.
EACH OF THE UNDERSIGNED expressly
acknowledges and agrees that the foregoing release, waiver, and indemnity
agreement is intended to be as broad and inclusive as is permitted by law of
the State in which it is operated in and that if any portion thereof is held
invalid, it is agreed that the balance shall, notwithstanding, continue in full
legal force and effect.
THE UNDERSIGNED HAS READ AND
VOLUTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT,
and further agree that no oral representations, statements or inducements apart
from the foregoing written agreement have been made.
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PRINTED NAME OF PARTICIPANT |
SIGNATURE OF PARTICIPANT |
PRINTED NAME OF PASSENGER |
SIGNATURE OF PASSENGER |
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