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

 

 

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


IN CONSIDERATION of being permitted to compete, officiate, observe, work, or participate in any way in the EVENT(S) or being
permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring special authorization, credentials, or
permission to enter or any area to which admission by the general public is restricted or prohibited), EACH OF THE
UNDERSIGNED, for himself, his personal representatives, heirs, and next of kin:
1. Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and
will continuously thereafter, inspect the RESTRICTED AREAS which he enters, and he further agrees and warrants that, if at
any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise the officials
of such and if necessary will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT(S).
2. HEREBY RELEASES,WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing
associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners,
drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, sponsors, advertisers, owners and
leassees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, 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, employees, representatives, owners, members,
affiliates, successors and assigns 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 THEREFOR 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.
3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS,
LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the UNDERSIGNED’S INJURY OR DEATH,
WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
4. HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE
arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.
5. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious
injury and/or death and/or property damage. Each of THE UNDERSIGNED, also expressly acknowledges that INJURIES
RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF
THE RELEASEES.
6. HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of
negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and
inclusive as is permitted by the laws of the State or Province in which the Event(s) is/are conducted and that if any portion
thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT,
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE
SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME
AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST
EXTENT ALLOWED BY LAW.

July 25, 2021

 

I, the undersigned, state that I have received, have read and understand completely the rules and regulations issued for this event and agree to be bound by them. I fully understand that motorcycle track riding is a dangerous activity and that injury or death could result from this activity.


In consideration of my entry and my being permitted to take part in this event, I for myself, my heirs, executors, administers, successors and assigns agree to save harmless and keep indemnified, Pro 6 Cycle Inc. and it’s officials, agents officers, employees or any other person for whom Pro 6 Cycle Inc. is legally responsible, CMRC Insurance Brokers and its officials, the other participants and their invitees, helpers and their respective agents (as the case may be), the owners or lessees of any land used for the event and their respective officials, servants, representatives or agents from and against all actions, claims, cost and demands, court actions, legal actions in respect of injury, death, loss of or damage to my person or property, however caused, without limitation loss of or damage to my person or property, however caused arising out of or contributed to or occasioned by the actions or negligence of the same bodies, their officials, servants, representatives, or agents and that I am fully responsible for my actions, property and conduct.

 

I declare that I will attend all meetings called by Pro 6 Cycle Inc. prior to and during the event as deemed necessary by them and will abide by all instructions proclaimed at such meetings. I agree that Pro 6 Cycle Inc. and it’s officials or agents shall place safety barriers and other safety devices at various locations in or upon the facility as they deem necessary and I agree that these safety barriers and other safety devices are placed in a correct manner.


I declare that I have chosen the correct class to participate in according to my competence to ride safely in that chosen class. I understand that Pro 6 Cycle Inc., its officials or officers can remove me from that class, place me in another class with my agreement or suspend my riding privileges at their sole and complete discretion.


I declare that I posses the standard of competence and health necessary to participate in the event contemplated by this agreement and that the motorcycle entered is suitable, safe and roadworthy for an event of this type having regard to the course and speeds that will be reached. I will duly report, in writing, any and all health issues associated with participating in this event to Pro 6 Cycle Inc. prior to taking part in the event.


I declare that I have inspected and I am familiar with the layout of the track and the safety devices and barriers placed thereon.


I declare that I understand that the event could be cancelled at any time during its progress, at the sole discretion of
Pro 6 Cycle Inc., due to inclement weather or unforeseen events with no refund due to the participants.


I declare my presence at the circuit may expose me to danger either from incidents caused by me or by another person or persons or by nature of activities conducted at the circuit. I further acknowledge that I may be injured or killed while participating in the event.

 

Please select who will be participating...
AdultMinor
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Duties or reason for attending the event.
Rider
Which event are you attending?
Event date*
I have read both Pro 6 Cycle and the track's COVID-19 rules, regulations and protocols and agree to fully adhere to them while on site.
No
Yes
Do you have one or more of the COVID-19 symptoms below? fever and/or chills • cough or barking cough (croup) • shortness of breath • sore throat • difficulty swallowing • decrease or loss of smell or taste • runny or stuffy/congested nose • headache • nausea/vomiting, diarrhea • muscle aches • extreme tiredness
No
Yes
Have you been identified as a "close contact" of someone who currently has COVID-19 in the last 14 days? Or, has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
No
Yes
Have you or anyone you live with traveled outside of Canada in the last 14 days?
No
Yes
I acknowledge that if my answer to any of the above COVID-19 screening questions changes prior to my event, that I will not attend. If I become symptomatic at the event, I will immediately quarantine from others and contact the Track Office for "next step" procedures.
No
Yes
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*

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.


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