The Kenai Peninsula Fairgrounds First Annual Road Rally Sign Up!
Kenai Submission form- Starting Location at Diamond M Ranch- May 29th
Driver Phone Number
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Driver License Number
Proof of Valid Insurance
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Register by May 10th and get a free commemorative T-Shirt with registration
Second T-Shirt Size
Available for an additional fee
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Road Rally Sign up
Cost of registration for participation in KPF Road Rally Includes Free Concert Tickets
Additional T-Shirt Purchase Option
Credit Card Number
RallyRelease and Waiver of Liability and Assumption of Risk Agreement IN CONSIDERATION of being allowed to participate in any way in any road rally (“the rally”):1. I understand and agree that, although I have been supplied with certain information on the prescribed rally course, the nature of the rally does not permit me to inspect the prescribed course or any portion of the prescribed course or the immediately adjacent areas thereof with which I may come in contact during the rally prior to my participation in the rally. I understand and agree that, if at any time, I feel anything to be UNSAFE, I will immediately take all necessary precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further in the rally. 2. I understand that:a. Participation in the rally involves RISKS AND DANGERS, as does any roadway vehicular activity, of seriousBODILY INJURY, including PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”);b. The SOCIAL AND ECONOMIC LOSSES and/or damages which could result form those risks COULD BE SEVERE; c. These risks and dangers may be caused by my own actions, or inactions, the actions or inactions o others, the rules of the rally, the condition and layout of the prescribed course, or THE NEGLIGENCE OF THE“RELEASEES” NAMED BELOW; d. There may be OTHER RISKS NOT KNOWN TO ME or that are not readily foreseeable at this time.3. I ACCEPT SUCH RISKS AND RESPONSIBILITIES FOR THE LOSSES AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS, OR DEATH, even if caused, in whole or in part, by theNEGLIGENCE OF THE “RELEASEES” NAMED BELOW.4. I HEREBY DISCHARGE AND COVENANT NOT TO SUE the promoters, participants, officials, car owners, drivers, crew members, rescue personnel, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises, and event inspectors, underwriters, 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 each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as “Releasees,” 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 THERE FORE 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 RELEASEES OR OTHERWISE
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