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RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
(READ CAREFULLY BEFORE SIGNING)
ALL MID MICHIGAN RIDERS CLUB ACTIVITIES AND/OR LOCATIONS

IN CONSIDERATION of being permitted to participate in any way in the ACTIVITIES/EVENTS, The
UNDERSIGNED, for himself/herself, his/her personal representatives, heirs, and next of kin:

1) HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the participants or any affiliated entities thereof, officers, members, riders, rescue personnel and other person participating in the EVENT (herein referred to as "RELEASEES" from ALL LIABILITY, ON ANY LEGAL THEORY, TO THE UNDERSIGNED his/her personal representatives, assigns, heirs, and next of kin, FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIMS 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 NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

2) HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASEES and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of, or related IN ANY MANNER, TO MY ATTENDANCE AT, OR PARTICIPATION IN, THE EVENT(S)).

3) 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.

4) HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S)) ARE VERY DANGEROUS and involve the risk of serious injury 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.

5) HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity
Agreement extends to all acts of negligence by the RELEASEES, INCLUDING NEGLIGENT RESCUE OPERATIONS, and is intended to be as broad and inclusive as is permitted by the laws of the State or Province 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 un full legal force and effect.
I HEREBY READ THIS RELEASE AND WAVIER 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 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 EXTENT ALLOWED BY LAW. I FURTHER ACKNOWLEDGE THAT FAILURE TO NOTARIZE THIS FORM SHALL NOT AFFECT ITS VALIDITY.

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Address ___________________________________________

City ______________________________________________  State _____

Signature __________________________________________   Date ___/____/____

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