Loading...

SOUTHINGTON OFFROAD PARK / SOUTHINGTON HUNT CLUB

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT

PARTICIPATE AT YOUR OWN RISK!

In consideration of being permitted to engage in and participate in activities involving the use of off road vehicles including but not limited to 4x4 motor vehicles, ATVs, UTVs, Argos, or dirt bikes (whether mechanically or manually powered) sponsored or offered to undersigned releaser by or under the auspices of Southington Off-Road Park or Southington Hunt Club, or of being permitted to participate in activities involving hunting, target practice, or the discharge of firearms or explosives of whatever nature whatsoever sponsored, or offered to undersigned releasor by or under the auspices of Southington Off-Road park or Southington Hunt Club, located in, on, and about premises known as Southington Off-Road Park (“SOR”) and Southington Hunt Club Inc. (“SHC”) located in Nelson Township, Portage County and Braceville Township, Trumbull County, releaser, for himself or herself, his or her spouse, a minor child identified herein as to whom releasor warrants and covenants that he/she or they are the natural parents or guardian of said minor and qualified to execute this instrument on behalf of said minor, his or her legal representatives, heirs and assigns, hereby waives and discharges Southington Off-Road Park, Southington Hunt Club, Southington Hunt Club Inc., their officers, owners, members, directors, shareholders and employees, promoters, sponsors and volunteers, and the owner or owners and lessees of the premises and each of them, their officers and employees, herein collectively referred to as “releasees”, for any and all loss or damage, and any claim or damage resulting from the same, on account of injury to releasor’s person or property, even injury resulting in the death of releasor, whether caused by the negligence of releasees or otherwise while releasor engages or participates upon the premises in the within described activities or while releasor is upon the premises described herein for any purpose or use whatsoever.

Releasor covenants and acknowledges the inherently dangerous nature of the aforesaid activities and presence upon the premises and that such activities and releasor’s presence upon said premises involves risks of serious injury including permanent injury and death which may result from the negligence, acts, or omissions of releasor or from the acts, omissions, or negligence of others including but not limited to releasees. Releasor further covenants and acknowledges his or her understanding and awareness of the dangerous condition of the premises and the risk inherent in any use whatsoever of the premises by releasor, it being understood knowingly and intelligently by releasor that said premises consist in a large part of land that is a man made quarry and has been logged over, strip mined and contains other hazards, latent and patent, visible or not, including but not limited to water ways, roadways, rail lines and abandoned shacks.

Releasor further agrees to indemnity and save and hold harmless the releasees and each of them, their heirs, executors, and assigns, from any loss, liability, damage or cost releasees may incur due to the participation of releasor in SOUTHINGTON OFFROAD PARK / SOUTHINGTON HUNT CLUB 2 the within described activities or the presence of releasor upon the premises, whether due to the negligence or otherwise or acts or omissions of releasor, releasees, or others.

Releasor further releases, waives, discharges and covenants not to sue releasees, from all liability to releasor, his or her personal representatives, assigns, heirs and next of kin, for any and all loss or damage, and any claim or demand for same on account of injury to the person or property of releasor or resulting in the death of releasor, whether caused by the negligence of releasees or otherwise.

Releasor assumes full responsibility for and risk of bodily injury, death, or property damage due to the negligence of releasees or otherwise or others or relating to the hazardous condition of the premises as aforesaid.

Undersigned releasor further acknowledges and agrees that the activities set forth herein and the conditions of the premises are very dangerous and involve the risk of serious injury or death or property damage. The releasor further agrees that the within release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the State of Ohio, and that if any portion of it is held invalid, it is agreed that the balance shall notwithstanding continue to full force and effect.

THE UNDERSIGNED RELEASOR HAS READ AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, AND FURTHER AGREES AND STIPULATES THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.

Releasor acknowledges and understands that it is his or her responsibility to wear a helmet and other safety equipment and clothing and to receive professional instructions before engaging in any of the activities set forth herein and entering upon the premises. Releasor further acknowledges and understands that it is the sole responsibility of releasor to provide for releasor’s medical coverage or other insurance and that releasees are not providing or availing for use any medical or other insurance of any nature whatsoever as to releasor or the benefit of releasor.

Releasor further acknowledges the receipt of a copy of the rules and regulations pertaining to the premises, warrants that he or she has read and understands same, and covenants to comply with said rules and regulations.

Releasor further acknowledges and agrees that this release, waiver, and indemnity agreement shall remain in full force and effect from the date of execution hereof and shall operate and bind releaser from the date hereof irregardless of the number of visits releasor makes to the premises and engages in the within described activities and releasor further agrees to execute subsequent written releases, waivers, and indemnity agreements as may be presented to release by releasee from time to time, and releaser further agrees and understands that this release, waiver, and indemnification agreement shall not be rescinded or revoked or set aside without express written approval of releasees.

WHEREFORE releaser hereby signs this agreement the date first appearing above.

Date: April 23, 2019

Please select who will be participating...
AdultMinorAdult and a Minor
Continue
First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver