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CONSENT, RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT FOR MINOR

It is understood by me that my child is participating AT THEIR OWN RISK and that I, as the parent, or custodial parent if divorced, or legal guardian, have full legal authority to execute this Consent and Release, Hold Harmless, Assumption of Risk and Indemnification Agreement required to be executed by me prior to my child participating this day.

I understand this Release, Hold Harmless, Assumption of Risk and Indemnification Agreement waives valuable legal rights for me and my child and creates obligations for me to TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND. I understand my child may suffer serious and permanent injuries or death as a result of participation. I understand that this contract releases and holds harmless TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their officers, directors, shareholders, agents, servants, employees and licensees from any and all liability for injury, death or property damage including that caused by the negligent acts of omission or commission by TERRA AVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their officers, directors, shareholders, agents, servants, employees and licensees to the fullest extent of the law.

I hereby understand and agree that by signing this document that I agree to indemnify and hold harmless TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their agents, servants, employees, licensees, officers, directors and shareholders from any and all liability of every nature and kind as a result of my child being injured or killed or any property damage to my property or others property and that I further agree to indemnify such entities and persons from any damages, attorney’s fees, court costs, expert witness fees and expenses and any other costs or expenses incurred by said entities or persons.

By signing this Agreement, I declare I have read this release, waiver of liability , assumption of risk and indemnity agreement, fully understand its terms and conditions, understand that I have given up substantial legal rights by signing it in order for my child to participate, 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, absolute and unconditional release of all liability to the greatest extent allowed by law and I agree to be bound by all terms, conditions and obligations therein.

Signature of Parent/Legal Custodian

Sign Name

Please select who will be participating...
AdultMinor
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I/We the parent, or custodial parent if divorced, or legal guardian hereby authorize:

Minor's First Name *

Minor's Last Name

Minor Date of Birth *

on


(start date of event) *

through


(end date of event) *

to participate in motorized off the road activities at the location operated by Terra Adventures Inc. an Indiana corporation d/b/a The Badlands Off Road located in Attica, Fountain County, Indiana on the above date.

It is understood by me that my child is participating AT THEIR OWN RISK and that I, as the parent, or custodial parent if divorced, or legal guardian, have full legal authority to execute this Consent and Release, Hold Harmless, Assumption of Risk and Indemnification Agreement required to be executed by me prior to my child participating this day.

I understand this Release, Hold Harmless, Assumption of Risk and Indemnification Agreement waives valuable legal rights for me and my child and creates obligations for me to TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND. I understand my child may suffer serious and permanent injuries or death as a result of participation. I understand that this contract releases and holds harmless TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their officers, directors, shareholders, agents, servants, employees and licensees from any and all liability for injury, death or property damage including that caused by the negligent acts of omission or commission by TERRA AVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their officers, directors, shareholders, agents, servants, employees and licensees to the fullest extent of the law.

I hereby understand and agree that by signing this document that I agree to indemnify and hold harmless TERRA ADVENTURES INC, SAIDAL LLC, STYLE K INC, ATTICA VACATION RENTALS, DRIVEN PROPERTIES LLC, and OFF THE TRAIL VACATION RENTALS AND CAMPGROUND, and their agents, servants, employees, licensees, officers, directors and shareholders from any and all liability of every nature and kind as a result of my child being injured or killed or any property damage to my property or others property and that I further agree to indemnify such entities and persons from any damages, attorney’s fees, court costs, expert witness fees and expenses and any other costs or expenses incurred by said entities or persons.

By signing this Agreement, I declare I have read this release, waiver of liability , assumption of risk and indemnity agreement, fully understand its terms and conditions, understand that I have given up substantial legal rights by signing it in order for my child to participate, 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, absolute and unconditional release of all liability to the greatest extent allowed by law and I agree to be bound by all terms, conditions and obligations therein.


First Parent/ Legal Custodian Name

First Name*

Middle Name

Last Name*

Phone*
First Parent/ Legal Custodian Date of Birth*
First Parent/ Legal Custodian Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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.


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*

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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