INDEMNITY/ WAIVER / RELEASE FOR MINOR
INDEMNITY/ WAIVER / RELEASE FOR MINOR CHILD ("RELEASE")I have requested on behalf of my minor child, that ASA North Texas ("ASA") permit my child, to participate in the 2018 Poker Run Motorcycle/Sports Car Event ("Event"). In consideration for ASA North Texas ("ASA") permitting my child to participate in the Event, either as a driver or a passenger, I, and my minor child, hereby agree to abide by all federal, state, and local laws and regulations for my and my child's personal safety, the safety of others, and as applicable, and the operation of a motorcycle / car during the Event. My minor child's participation is voluntary and is taken at his/her own risk. I acknowledge that driving is dangerous, and that personal injury and/or death may result therefrom. I, and my minor child, and any other passengers of mine, will take all safety precautions, including, but not limited to, the use of all safety equipment and attire, including, the recommended, FDOT/Snell helmets, appropriate attire, and eyewear for motor cycle riders. In consideration of ASA permitting my minor child to participate in the Event, and on behalf of myself, my minor child, our respective heirs, executors, administrators, and assigns, I HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS, DAMAGES, CAUSES OF ACTION, COSTS, EXPENSES (INCLUDING, BUT NOT LIMITED TO, ATTORNEY'S FEES) AND CLAIMS ("CLAIMS") WHICH IOR MY MINOR CHILD MAY HAVE, NOW OR IN THE FUTURE, KNOWN OR UNKNOWN, AGAINST ASA, IT’S OFFICERS, BOARD OF DIRECTORS, MEMBERS AND EMPLOYEES, ALL SPONSORS OF THE EVENT INCLUDING, BUT NOT LIMITED TO, THE SPONSORS BELOW ("SPONSORS"), AND ANY THIRD PARTIES, ARISING OUT OF OR IN CONNECTION WITH THE EVENT. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS ASA, ITS OFFICERS, BOARD OF DIRECTORS, AND EMPLOYEES, MEMBERS AND SPONSORS WITH RESPECT TO ANY AND ALL SUCH CLAIMS, AS WELL AS ANY CLAIMS FILED, MADE OR ASSERTED BY OTHERS ARISING OUT OF MY ACTS, OMISSIONS, FAULT OR NEGLIGENCE DURING THE EVENT, OR MY MINOR CHILD'S ACTS, OMISSIONS, FAULT OR NEGLIGENCE DURING THE EVENT. I acknowledge that this Indemnity, Waiver and Release is intended to be as broad and inclusive as permitted by Texas law and if any portion of same is deemed invalid or unenforceable for any reason, that the remainder shall be continue in full force and effect. I have read and understand this Indemnity, Waiver and Release. NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. BY SIGNING THIS AGREEMENT, YOU GIVE UP YOUR RIGHT AND YOUR CHILD'S RIGHT TO BRING AN ACTION IN COURT, OR OTHERWISE, TO SEEK COMPENSATION, DAMAGES, OR OTHER REMEDIES, NOW OR IN THE FUTURE, FOR INJURIES (INCLUDING DEATH) TO YOURSELF, YOUR MINOR CHILD, OR YOUR PROPERTY ARISING OUT OF YOUR PRESENCE AT THE EVENT OR YOUR PARTICIPATION IN THE EVENT. PLEASE READ AND BE CERTAIN YOU FULLY UNDERSTAND THE IMPLICATIONS OF SIGNING THIS AGREEMENT! Sponsors: Alliance Insurance Agency of Dallas; American Legion Post 81; Big D Metalworks; Blueline Rental; CMJ Engineering; Crosslink South Powder Coating: City Wide Mechanical; DDC Fuel Services; ; Doug Olson; EyeSite Surveillance; EZ Lift; FC Construction Services; Cummings Electrical; Haley-Greer, Inc.; Hargrove Electric; Hicks Resource Consulting; Hilti; Humphrey & Associates, Inc.; Johnston Products of Dallas, Inc.; K-T Galvanizing Company; Lone Star Motorsports; Marie Red’s; MEMCO; Metroplex Welding Supply; Mobile Modular; Pacesetter Personnel Services; Polk Mechanical; Potter Concrete; Prism Electric; Shahan & Son, Ltd; Staffzone; Sunstate Equipment; Texas AirSystems; TDIndustries; Trade Management; Tullos Metal Works; VLP Contractors; Texas Scottish Rite Hospital for Children; Happy Hill Farm & Academy.
Name of Minor Child
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First Name
Last Name
Name of Parent or Guardian
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First Name
Last Name
Age of Minor Child
Minor Child's Date of Birth
Signature of Parent or Guardian
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