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EMPLOYEE OR CONTRACTOR/VENDOR 

RELEASE AND WAIVER OF LIABILITY 

ASSUMPTION OF RISK AND INDEMNITY AGREEMENT 


ATTENTION: READ CAREFULLY! THIS IS A RELEASE OF LIABILITY AND EXPRESS ASSUMPTION OF RISK. NOTICE: THE FOLLOWING RELEASE AND WAIVER SHALL APPLY TO ANY AND ALL EVENTS AND ACTIVITIES ("EVENT") AT THE BELOW NAMED TRACK/FACILITY FOR ALL DATES. 

NAME OF TRACK/FACILITY - ChumpCar International Inc. dba ChampCar Endurance Series

IN CONSIDERATION of being permitted to compete, officiate, observe, work for, 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 including but not limited to the competition area and any hot pit area), EACH OF THE UNDERSIGNED, for himself/herself, his/her personal representatives, heirs, and next of kin. 

1. Acknowledges, agrees, and represents that he/she has or will immediately upon entering any such RESTRICTED AREAS, and will continuously thereafter, inspect the RESTRICTED AREAS which he/she enters and he/she further agrees and warrants that, if at any time, he/she is in or about RESTRICTED AREAS and he/she believes anything to be unsafe or unsatisfactory in any way, he/she will immediately advise the officials of such and 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 affiliated entities thereof, track operators, track owners, officials, vehicle owners, builders and designers, drivers, crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, equipment and parts manufacturers and suppliers, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters/brokers, 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 for each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as "RELEASEES" FROM ALL LIABILITY TO THE UNDERSIGNED, his/her personal representatives, assigns, heirs, and next of kin, FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFORE 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 NEGLIGENCE OF ANY RELEASEE(S) OR OTHERWISE. THIS RELEASE IS NOT INTENDED TO LIMIT, WAIVE OR DISCHARGE ANY STATUTORY DUTIES OR OBLIGATIONS AN EMPLOYER MAY HAVE TO AN UNDERSIGNED EMPLOYEE INCLUDING THE PROVISION OF WORKERS' COMPENSATION BENEFITS. 

3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASEES and each of them FROM ANY LOSS, LIABILITY, DAMAGE, FEES OR COSTS they may incur arising out of or related IN ANY MANNER TO MY ATTENDANCE AT OR PARTICIPATION IN THE EVENT(S), AND WHETHER CAUSED BY THE NEGLIGENCE OF ANY RELEASEE(S) 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 ANY RELEASEE(S) OR OTHERWISE. 

5. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE 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 Province or State 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, FULLY 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.

First Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Phone*
First Employee, Staff, Contractor Date of Birth*
Date of Birth
First Employee, Staff, Contractor Signature*
Second Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Third Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Fourth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Fifth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Sixth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Seventh Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Eighth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Ninth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
Tenth Employee, Staff, Contractor Name
First Name*
Middle Name
Last Name*
Employee, Staff, Contractor Date of Birth*
Date of Birth
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.
MINOR EMPLOYEE WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT 


NAME OF TRACK/FACILITY 

ALL DATES EVENT DATE (S) 


IN CONSIDERATION for allowing the MINOR to observe, work at or participate in any way in the event or activity ("Event") encompassed by this Agreement and/or permit the minor and parent or guardian to enter for any purpose any restricted area (defined as the advanced staging area, burn out area, competition area, shut down area, return road area, and any area within the barriers, fences, and/or structures separating the general public from the racing activities), the PARENT AND/OR GUARDIAN AND MINOR, agree as follows: 

1. THE MINOR AND/OR PARENT(S) OR GUARDIAN(S) will immediately inspect the restricted area upon entering it and warrants that their entry therein and/or the minor's event participation constitutes an acknowledgment that they have inspected the restricted area and find it safe and reasonably suited for the purpose of its use. The undersigned agree that if at any time in the restricted area they believe something is unsafe, it will be brought to the attention of an official and they will remove themselves from the restricted area and the minor will withdraw from participation in the Event. 

2. THE MINOR AND PARENT(S) OR GUARDIAN(S) HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence of Releasees (as identified below) or otherwise, while in or upon the restricted area for any purpose including competing, officiating, observing, working or participating in the Event. The undersigned recognize and understand that there are risks and dangers associated with participation in the Event and admission within the restricted area that could cause severe bodily injury, disability and death. Further, the risks and dangers may be caused by the negligent actions or negligent failure to act of the Releasees and others. All of the risks and dangers associated with participating in the Event and entry into the restricted area are assumed notwithstanding. 

3. THE MINOR AND PARENT(S) OR GUARDIAN(S), release, waive, discharge and covenant not to sue the promoters, participants, racing associations, sanctioning organizations, (or any subdivision thereof), track operators, track owner, officials, car owners, drivers, pit crews, all persons in the restricted area, sponsors, advertisers, owners, lessees and lessors of the premises, used to conduct the Event and their officers, agents, and employees (all for the purpose herein referred to as "Releasees"), from all liability to ourselves, the undersigneds, our personal representatives, assigns, executors, heirs, and next of kin for any and all claims, demands, losses or damages of the minor and/or parent or guardian on account of any injury, including, but not limited to the death of the parent, guardian or minor or damage to property, caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise. This release is not intended to limit, waive or discharge any statutory duties or obligations an employee may have to the minor employee including the provision of worker's compensation benefits. 

4. THE PARENT(S) AND/OR GUARDIAN(S) hereby agrees to indemnify and save and hold harmless, the Releasees and each of them from any loss, liability, damage or cost that may incur due to the presence of the parent, the guardian or the minor in the restricted area, or in any way while participating in the Event and whether caused by negligence of the Releasees or otherwise. The parent and/or guardian further recognize and agree they are executing this Waiver and Release of Liability and Indemnity Agreement on behalf of themselves and on behalf of the minor. 

5. THE PARENT(S) AND/OR GUARDIAN(S) 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 law of the Province or State 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. 

6. THE PARENT(S) OR GUARDIAN(S) HAS READ AND VOLUNTARILY SIGNS THE WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT AND DOES SO VOLUNTARILY AND WITH THE UNDERSTANDING THAT SUBSTANTIAL RIGHTS ARE BEING GIVEN UP. 





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*
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 Date of Birth*
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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