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PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK


Rev 11/2024


PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK


In consideration of the services of Off Road Consulting LLC, their agents, owners, officers, volunteers, employees, and all other persons

or entities acting in any capacity on their behalf (hereinafter collectively referred to as "ORCL"), I hereby agree to release, indemnify, and

discharge ORCL, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in OHV guided training & instruction activities entails known and unanticipated risks that could

result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks

simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: the possibility of rough terrain; passengers can be jolted, jarred, bounced, thrown about and

otherwise shaken during rides; it is possible that riders could be injured if they come into contact with other passengers or equipment;

injuries can be sustained from the trail, equipment or from items on the trail such as holes, bumps, ruts, obstacles, tree limbs and branches

or rocks; major injuries are a risk as are bruises and sprains; musculoskeletal injuries including head, neck, and back injuries; injuries to

internal organs; loss of fingers or other appendages; exhaustion; exposure to the elements of the outdoors and natural surroundings which

could cause hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; and exposure to potentially

dangerous wild animals, insect bites, and hazardous plant life; the negligence of other participants or persons who may be present;

transmissible pathogens or disease; further, passengers can be thrown off the vehicles which can result in any of the above events occurring;

accidents involving other vehicles; collision with fixed or movable objects; and flipping over; traveling to and from activity locations raises

the possibility of any manner of transportation accidents; accidents or illness can occur in remote places without medical facilities and

emergency treatment or other services rendered; the machine itself may fail; and accidents can occur getting in or out.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is

purely voluntary, and I elect to participate in spite of the risks. A properly fitted and secured DOT or SNELL certified helmet must

be worn by all Participants when a helmet is required by applicable state law or when recommended or required by the

manufacturer. I agree to always wear seat belts while participating in this activity.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless ORCL from any and all claims, demands, or

causes of action, which are in any way connected with my participation in this activity or my use of ORCL’s equipment or facilities,

including any such claims which allege negligent acts or omissions of ORCL.

4. Should ORCL or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to

indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear

the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I

may have.

6. In the event that I file a lawsuit against ORCL, I agree to do so solely in the state of Pennsylvania, and I further agree that the substantive

law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this

agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I

may be found by a court of law to have waived my right to maintain a lawsuit against ORCL on the basis of any claim from which

I have released them herein. I also agree that this document is valid for subsequent visits and participation at ORCL. I have had

sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Print Name Phone Number

Address City

State Zip Email

Signature of Participant Date

PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

(Must be completed for participants under the age of 18)


In consideration of ______________________________________________________________________________________________

______________________________________________________________________________________________________________

(print minor's or minors’ names) ("Minor(s)") being permitted by ORCL to participate in its activities and to use its equipment and facilities,

I further agree to indemnify and hold harmless ORCL from any and all claims which are brought by, or on behalf of Minor(s), and which

are in any way connected with such use or participation by Minor(s).

Parent or Guardian: ______________________________________ Print Name: _______________________Date:_______________



 


December 21, 2024








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

First Name*

Last Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*

PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

(Must be completed for participants under the age of 18)



In consideration of (print minor's or minors’ names) ("Minor(s)") being permitted by ORCL to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless ORCL from any and all claims which are brought by, or on behalf of Minor(s), and which are in any way connected with such use or participation by Minor(s).







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*

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*
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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