Loading...

Deer Creek MX Ranch, L.L.C. 

2778 Grant 9, Sheridan, AR 72150

(501) 515-2143

deercreekmx@gmail.com


Deer Creek MX Ranch, L.L.C. - ADULT RELEASE ALL EVENT DATES 2024


STATEMENT OF RESPONSIBILITY

Off road motorsport activities are inherently dangerous. You should take part in any riding activities based on your own assessment of your abilities. You are responsible for the quality and condition of your vehicle and protective apparel. Neither Deer Creek MX Ranch L.L.C., the landowners, nor their agents provide insurance coverage. If you have any doubts about your personal abilities, if you have not adequately prepared yourself and your equipment, if you question the safety of the property, or if you believe your personal insurance coverage is inadequate, you should refrain from any off road motorsport activities. Understanding this, I voluntarily sign the following release and waiver of liability:

RELEASE AND WAIVER OF LIABILITY

In consideration of being granted an opportunity to enter the premises at Deer Creek MX Ranch, L.L.C. in Sheridan, AR, and intending to be legally bound hereby agree:

I, for myself, my heirs, personal representatives, and assigns, HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY Deer Creek MX Ranch, L.L.C., the promoters, the property owners, and the officers, directors, officials, representatives, advertisers, sponsors, agents, workers, volunteers, and employees of all of them, OF AND FROM ALL LIABILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, that in any way results from my activities while on the premises at Deer Creek MX Ranch, L.L.C., from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK AND DANGER TO MYSELF AND PROPERTY while upon said premises or while operating my motorcycle or ATV and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, and I hereby ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable to the negligence of others.

I FULLY UNDERSTAND THAT MOTORCYCLE RIDING IS DANGEROUS AND THAT THERE IS NO MEDICAL INSURANCE PROVIDED. 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 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 Adult Rider or Spectator Name

First Name*

Last Name*

Phone*
First Adult Rider or Spectator Date of Birth*
First Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
First Adult Rider or Spectator Signature*
Second Adult Rider or Spectator Name

First Name*

Last Name*
Second Adult Rider or Spectator Date of Birth*
Second Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Third Adult Rider or Spectator Name

First Name*

Last Name*
Third Adult Rider or Spectator Date of Birth*
Third Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Fourth Adult Rider or Spectator Name

First Name*

Last Name*
Fourth Adult Rider or Spectator Date of Birth*
Fourth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Fifth Adult Rider or Spectator Name

First Name*

Last Name*
Fifth Adult Rider or Spectator Date of Birth*
Fifth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Sixth Adult Rider or Spectator Name

First Name*

Last Name*
Sixth Adult Rider or Spectator Date of Birth*
Sixth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Seventh Adult Rider or Spectator Name

First Name*

Last Name*
Seventh Adult Rider or Spectator Date of Birth*
Seventh Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Eighth Adult Rider or Spectator Name

First Name*

Last Name*
Eighth Adult Rider or Spectator Date of Birth*
Eighth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Ninth Adult Rider or Spectator Name

First Name*

Last Name*
Ninth Adult Rider or Spectator Date of Birth*
Ninth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Tenth Adult Rider or Spectator Name

First Name*

Last Name*
Tenth Adult Rider or Spectator Date of Birth*
Tenth Adult Rider or Spectator Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Parent or Guardian's Address

Address Line 1 *

City *

State *

Zip Code *

Emergency Contact Phone Number *
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!