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Complete the Patriot Tour Waiver Below

ALL PARTICIPANTS MUST READ AND AGREE TO THE FOLLOWING:

The undersigned (on my own behalf and on behalf of my heirs, personal representatives, successors, and assigns), for and in consideration of the opportunity to participate in the Patriot Tour {hereinafter the Tour} managed and created by The Nation of Patriots and their respective directors, officers, sponsors and volunteers {hereinafter Released Parties}) releases and holds harmless the “Released Parties” from any and all claims and demands, rights and causes of action of any kind whatsoever which I now have or later may have against the “Released Parties” in any way resulting from, arising out of, or in connection with the performance their duties and my participation in “The Patriot Tour.” This release extends to any and all claims I have or later may have against the “Released Parties” resulting from or arising out of their performance of their organizational duties whether or not such claims result from negligence (except willful neglect) on the part of any or all of the “Released Parties” with respect to “The Patriot Tour” or with respect to the conditions, qualifications, instructions, rules, or procedures under which “The Patriot Tour” is conducted from any other cause. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE ANY OR ALL OF THE “RELEASED PARTIES” FOR ANY INJURY RESULTING TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH MY PARTICPATION IN THE “PATRIOT TOUR” OR AGAINST THE “RELEASED PARTIES.” I am experienced in and familiar with the operation of motorcycles and fully understand the risk and dangers inherent in motorcycling. I am voluntarily participating in “The Patriot Tour” and I expressly agree to assume the entire risk of my accidents or personal injury, including death, which I might sustain to my person or property as a result of my participation in “The Patriot Tour,” and any negligence (except willful neglect) on the part of any and all of the “Released Parties” throughout “The Patriot Tour.”

WAIVER OF RIGHTS UNDER STATE STATUES

I further agree to waive all benefits flowing from any state statue which would negate or limit the scope of this release and Indemnification Agreement, including, but not limited to Section 1542 of the California Civil Code which provides: “A general release does not extend to the claims which the creditor does not know or suspect to exist in his or her favor at the time of executing this release, which if known to him or her must have materially affected his or her settlement with the debtor.” By signing this “Release”, I certify that I have read this “Release” and fully understand it and that I am not relying on any statements or representations made by the “Released Parties.”

First Participant's Name
First Name*
Last Name*
First Participant's Date of Birth*
Date of Birth
Information
Today's Date *
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Today's Date *
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Today's Date *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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