IF THERE IS ANY MINOR THAT IS GOING TO RACING ON THE TRACK (13-17 CAN NOT BE UNDER 13) HAS TO FILL THEESE FORMS OUT AND HAVE IT NOTARIZED!!!
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Minor Release and Waiver of Liability and Indemnity Agreement
THUNDER MOUNTAIN SPEEDWAY
IN CONSIDERATION of being allowed to participate in any way in the motorsport event or activity indicated above and/or being permitted to enter for any purpose any restricted area (herien defined as any wherin admittance to the general public is prohibited) ,the parent(s) and/or legal guardian(s)of the minor participant below agree:
1) The parent(s) and/or legal guardian(s)will instruct the minor participant that prior to participating in the above motorsport activity or event he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate.
2) I/we fully understand and acknowledge that:
a) There are risks and dangers associated with participation in motorsport events which could result in bodily injury, partial and/or total disability, paralysis and death.
b) The social and economic losses and/or damages, which could result from those risks and dangers described above, could be severe
c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the "Releasees" named below.
d) There may be other risks not known to use or are not reasonably foreseeable at this time.
3) I/we accecpt and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole part by the negligence of the "Releasees" named below.
4) I/we HEREBY RELEASE, WAIVE, DISCHARGED AND COVENANT NOT TO SUE the promoter, participants, racing associations, sanctioning organizer or any subdivision there of, track operator, track owner, officials, car owners, drivers, pit crews, any persons in any restricted area, promoters, sponsors, advertisers, owners, lessees of premises used to conduct the event and each of them, their officers, agents and employees, all for the purpose herein referred as "Releasees," from all liability to the undersigned, my/our personal representatives, assigns, executers, heirs and next of kin for any and all claims, demands, losses or damages on account of any injury, including but not limited to the death of the participant or damage to property, caused or alleged to be cause in whole or in part by the negligence of the "Releasees" or otherwise.
5) On behalf of the participant and individually, the undersigned parent(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release . If, despite this release, the participant makes a claim against any of the "Releasees," the parent(s) and/or legal guardian(s) will reimburse the "Releasees" and their insuring company for any money paid to the participant, or on his behalf, and hold them harmless.
I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENT.
1) I,_____________________________________________________ have read this release.
Parent/Guardian
2) I,_______________________________________________________ have read this release
Minor childs name
Minorchilds signature:_____________________________________________________________________
Parent/Guardian signature:_________________________________________________________________
CONSENT TO MEDICAL TREATMENT
I, _____________________________, the (parent/guardian) of ________________________,
a minor child whose birthday is_____________,_______ and who is the child of,
___________________and________________________, hereby authorizes any duly authorized doctor,
hospital or other medical facility to treat minor on or after _________________________for the purpose
of attempting to treat or relieve any injuries received by said minor while he was a participant or observer
at the Thunder Mountain Speedway property and/or facility.
I authorize any licensed physician to perform any procedure which he deems advisable in attempting to
treat or relieve any injuries or any unhealthy condition of said minor that he/she may encounter during
any necessary operation.
I consent to the administration of anesthesia as deemed by an licensed physician.
I realize and appreciate that there is a possibility of complications and unforeseen circumstances in any
medical treatment and I assume any such risk on the behalf of myself and said minor I acknowledge that
no warranty is being made ad to the results of any treatment.
________________________________ _________________________________
NAME RELATIONSHIP TO MINOR
STATE OF__________________
COUNTY OF________________
BEFORE ME, a Notary Public in and for said County and State, personally appeared
_________________________________ who acknowledge that he has read the above and foregoing instruments and that
the execution of both was his voluntary act and deed and that all statements are true and correct.
Witness my hand and seal this_______ day __________________________,_________.
Notary Public in and for __________________ county __________________________.
My Commission Expires:__________________