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Participant Waiver

For and in consideration of my entry upon and use of the premises of Rausch Creek Trailriders, (hereinafter identified as “RCTR”) I, intending to be legally bound, do hereby covenant and agree as follows:

I do hereby agree to abide by all Rausch Creek Trailriders regulations. I acknowledge risk of injury to my person or property and to others while riding, practicing, competing or merely being present on Rausch Creek authorized property. I know and understand that off road riding is an extremely dangerous activity and I will rely on my own judgment and ability and assume all risk of injury, damage or illness while on Rausch Creek authorized property. I will not file suit against Rausch Creek, its officers, its members or any affiliates.

I certify that I am authorized participant of RCTR and acknowledge that the Premises consist in large part of land that is mountainous in topography and that has been extensively logged over, strip mined, deep mined, and that the Premises contain many other hazards which may include but not be limited to other riders, roadways, highways, rail lines, streams, and abandoned strip mines and mine workings. I acknowledge the risks inherent in such hazards and further acknowledge the risks inherent in the operation of ATV’s, motorcycles, snowmobiles and other off-road vehicles on and about the Premises.

I acknowledge and fully understand that I may engage only in off-road riding and related activities upon the Premises and that such activities involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from my own acts, omissions or negligence of others, and further acknowledge that there may be other risks not known to me or reasonably foreseeable at this time.

I assume ALL of the foregoing risks, and all other risks, whether known or unknown, that may be present in my entry upon and use of the Premises and areas appurtenant thereto, and accept personal responsibility for any and all damages, injuries or illnesses I, my family or my guests may sustain to my or others’ person or property while on the Premises, including permanent disability or death.

I hereby agree, for myself and for my heirs, executors, administrators, representatives, successors and assigns, to release, waive, discharge, indemnify and hold harmless RCTR and all affiliated entities such as its limited and general partners, landlords, agents, employees, volunteers, customers, guests, successors and assigns, including but not limited to Rausch Creek Trailriders, Rausch Creek Powersports, LLC, Rausch Creek Land, L.P., and any and all of its subsidiaries and affiliates, from any and all claims, suits, demands, obligations, actions, rights of damages, including but not limited to claims for personal injury, illness, permanent disability, death or property damage arising from or in any way related to my entry upon and use of the Premises or areas appurtenant thereto. 

October 26, 2021

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*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
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*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
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.


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