RELEASE AND WAIVER OF LIABILITY, ASSUMPTION, OR RISK AND INDEMNITY AGREEMENT
MADAWASKA FOUR CORNERS PARK ASSOCIATION, MADAWASKA,MAINE
IN CONSIDERATION of being permitted to compete, officiate ,observe, work for ,or participate in any way in any Madawaska Four
Corners Park Association ,events or activities (EVENT(S) or being permitted to enter for any purpose and 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), I for myself, my personal representatives, heirs, and next of kin:
1....Acknowledge, agree and represent that I have or will immediately upon entering any of such RESTRICTED AREA(S) and
continuously thereafter, will inspect the RESTRICTED AREA(S) which I enter, and I further agree and warrant that , if at any time, I am in
or about RESTRICTED AREA(S) and I feel anything to be unsafe, I will immediately advise the officials of such and if necessary will
leave the RESTRICTED AREA(S) and /or refuse to participate further in the EVENT(S)
2......HEREBY RELEASE ,WAVE,DISCHARGE, AND COVENANT NOT TO SUE ,the promoters, participants, any subdivision thereof
officials, motorcycle owner, riders, pit crew, rescue personnel, underwriters, consultants and others who give recommendations,
directions, or instructions or engage in risk evaluation or loss of control activities, regarding the premises or EVENT(S) and each of
them, their directors, officers, agents, employees, for the purposes herein referred to as "Releases," FROM ALL LIABILITY TO THE
UNDERSIGNED, his/her personal representatives, assigns, heirs, and next of kin FOUR 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 ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASES
3......HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASES and their insurance carrier, and each of them
FROM ANY LOSS,LIABILITY, DAMAGE,OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE
NEGLIGENCE OF THE RELEASES OR OTHERWISE.
4....HERBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY,DEATH OR PROPERTY DAMAGE arising out of , or
related to the EVENT(S) whether caused by NEGLIGENCE OF RELEASES or otherwise.
5.....HERBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE POTENTIALLY VERY DANGEROUS and involve the risk of
serious injury and/or death and /or property damage. I also expressly acknowledge that INJURIES RECEIVED MAY BE
COMPOUNDED OR INCREASED BY NEGLECT RESCUE OPERATIONS OR PROCEDURES OF RELEASES.
6.....IF ,DESPITE, THIS RELEASE, I OR ANYONE ON MY BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASES,NAMED ABOVE, I
AGREE TO INDEMNIFY AND SAVE, AND HOLD HARMLESS THE RELEASES AND THE INSURANCE CARRIER, AND EACH OF THEM
FROM ANY LITIGATION EXPENSES,ATTORNEYS' FEES,LOSS ,LIABILITY,DAMAGE, OR COSTS THEY MAY INCUR DUE TO THE CLAIM
MADE AGAINST ANY OF THE RELEASES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE
RELEASES OR OTHERWISE.
7....HEREBY agree that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of
negligence by the RELEASES, INCLUDING NEGLIGENT RESCUE OPERATIONS, and is intended to be as broad and inclusive as is
permitted by the law 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, notwithstanding, continue in full legal force and effect.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY,ASSUMPTION OF RISK AND INDEMNITY AGREEMENT,AND FULLY
UNDERSTAND ITS TERMS,UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT,AND HAVE SIGNED IT FREELY
AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE
COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW
PRINT NAME HERE SIGN NAME HERE
Subscribed and sworn to (or affirmed) before me
this _____day of__________ in the year________
Signature of Notary Public___________________________________
My Commission Expires____________________
Important: Applicant Sign with Notary, Do not pre-sign
Failure to provide a completed Waiver and Release of Liability Form
to the Madawaska Four Corners Park Association will make you
ineligible to participate in the event.