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GO-KART WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK FORM

PLEASE READ CAREFULLY BY SIGNING THIS DOCUMENT, YOU CHOOSE TO WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

I, (“Participant”) desire to operate the go-karts and participate in the related activities at BOSCHERTOWN GO KARTS, 3500 MO-94, Saint Charles, MO 63301 (the “Facility”). In consideration of being permitted by BOSCHERTOWN GO KARTS, LLC to operate the go-karts and participate in such activities at the Facility, I agree to all the terms stated herein. 

1.    ACKNOWLEDGEMENT OF RISK

I, the undersigned, hereby acknowledge and understand that operating a go-kart and participating in the activities available at the Facility involves inherent risks and dangers, including but not limited to, the risk of injury or death resulting from collisions, sudden stops, mechanical failures, and accidents caused by other participants.

I ACKNOWLEDGE THAT I AM AWARE OF, APPRECIATE THE CHARACTER OF, AND VOLUNTARILY ASSUME THE RISKS INVOLVED IN OPERATING GO-KARTS AND PARTICIPATING IN ACTIVITIES AT THE FACILITY.

2.    RELEASE OF LIABILITY

In consideration of being allowed to operate the go-karts and participate in the go-kart activities at the Facility, I hereby release, and agree to indemnify and hold harmless BOSCHERTOWN GO KARTS, LLC, and all of its owners, operators, employees, agents, contractors, and volunteers (the “Released Parties”) from any and all claims, demands, actions, suits, damages, or liabilities of any kind, whether arising from any claim premised on any theory involving negligence, negligent maintenance, negligent supervision, negligent hiring, negligent operation, negligent omission or any other allegation of negligence, that I or my heirs, personal representatives, or assigns may have or assert as a result of any injury, illness, or damage to person or property arising from my operation of any go-kart or participation in any go-kart activity at the Facility.

3.    MEDICAL TREATMENT

In the event of an injury, I consent to medical treatment and emergency care if necessary. I understand and agree that the Released Parties are not responsible for providing any medical treatment and that I will bear the cost of any medical services or treatments incurred.

4.    AGE REQUIREMENT

I understand that participants must be at least eighteen (18) years of age to operate a go-kart and that minors must be accompanied by a parent or legal guardian. I confirm that I am at least eighteen (18) years of age, or if a minor, my parent or legal guardian has signed this waiver.

5.    FITNESS TO PARTICIPATE & AGREEMENT TO TERMS

I certify that I am physically and mentally capable of operating a go-kart and participating in the activities available at the Facility, and that I do not suffer from any medical condition that would prohibit my participation. I agree to comply with all safety rules and instructions provided by the Facility and to wear all required safety equipment, including a helmet, seatbelt, and other safety gear.

I HAVE READ THIS GO-KART WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK FORM AND FULLY UNDERSTAND ITS TERMS, UNDERSTANDING I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY.

PARENT/GUARDIAN AUTHORIZATION

Minors: Under 18 Years of Age

I am the parent or legal guardian of the minor Participant named above. I have the legal right to consent to the terms and conditions of this Go-Kart Waiver, Release of Liability, and Assumption of Risk and, by signing below, I hereby consent and agree to the terms and conditions of stated herein.

Date: April 4, 2026

First Participant's Name
First Name*
Last Name*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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:*
Emergency Contact
First Name*
Last 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.


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*
Last Name*
Phone*
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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