Loading...

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

 Moccasin Creek Offroad Park

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONEMUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license.

 

Agree and Acknowledge

I understand and acknowledge that if I proceed to register on line and to sign the waiver electronically that such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form. 

I Agree

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK
In consideration of the services of Moccasin Creek Offroad Park LLC, their agents, owners, officers, volunteers, participants,
employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “MCORP”), I
hereby agree to release, indemnify, and discharge MCORP, on behalf of myself, my spouse, my children, my parents, my heirs, assigns,
personal representative and estate as follows:
1. I acknowledge that my participation in ATV park, track & campground activities entails known and unanticipated risks that could
result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such
risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
The risks include, among other things: accidents involving other vehicles; collision with fixed or movable objects; slips and falls; the
possibility of rough terrain; drivers may be jolted, jarred, bounced, thrown about and otherwise shaken during rides; it is possible that
riders could be injured if they come into contact with other passengers, equipment, or other objects; the condition of the track; injuries can
be sustained from the trail, equipment or from items on the trail such as holes, bumps, ruts, obstacles, tree limbs and branches or rocks;
musculoskeletal injuries including head, neck, and back injuries; exhaustion; exposure to the elements of the outdoors and natural
surroundings which could cause hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; exposure to
potentially dangerous wild animals, insect bites, and hazardous plant life; further, passengers can be thrown off their machine which can
result in any of the above events occurring; collisions, and flipping over; accidents or illness can occur in remote places without medical
facilities; my own physical condition, and the physical exertion associated with this activity.
Furthermore, MCORP employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware
of a participant’s fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete
warnings or instructions, and the equipment being used might malfunction.


2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely
voluntary, and I elect to participate in spite of the risks.


3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless MCORP from any and all claims, demands,
or causes of action, which are in any way connected with my participation in this activity or my use of MCORP’s equipment or
facilities, INCLUDING ANY SUCH CLAIMS WHICH ALLEGE NEGLIGENT ACTS OR OMISSIONS OF MCORP.


4. Should MCORP or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to
indemnify and hold them harmless for all such fees and costs.


5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear
the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I
may have.


6. In the event that I file a lawsuit against MCORP, I agree to do so solely in the state of Georgia, and I further agree that the substantive
law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this
agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.
By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I
may be found by a court of law to have waived my right to maintain a lawsuit against MCORP on the basis of any claim from
which I have released them herein.


I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by
its terms. I accept Moccasin Creek Off Road Park's release of Liability Waiver

I Agree

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
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