GRAVITY PARK USA 2008 ANNUAL MINOR RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK

INDEMNITY AGREEMENT MEMBERSHIP CARD APPLICATION

ALL GRAVITY PARK USA RACES, PRACTICES, OPEN RIDING, EVENTS AND ACTIVITIES

THIS SIGNED INDEMNITY AGREEMENT PERMITS THE BELOW NAMED MINOR AS A REGISTERED MEMBER, TO COMPETE, OBSERVE AND PARTICIPATE IN ANY WAY IN ALL ACTIVITIES AND EVENTS, AND IS ALLOWED TO ENTER ANY RESTRICTED AREAS, INCLUDING THE DESIGNATED SAFE COMPETITION AND PIT OR PADDOCK AREAS, LOCATED AT GRAVITY PARK USA, W2571 HICKORY HILLS ROAD, CHILTON, WISCONSIN

Minor Name____________________________Date of Birth_________________Tel________________  

Address_________________________City_______________________State____________ZIP___________

Minor Participant Signature___________________________Date________________

Each of the undersigned, for himself/herself, his/her personal representatives, and next of kin:

1 .Acknowledges, agrees and represents that he/she has or will  immediately upon entering any restricted areas, inspect     

  the areas and feels or sees  anything is unsafe, will notify  the track officials and immediately leave the unsafe area.

2.Hereby releases, waives, discharges and covenants not to sue the RELEASES listed as  sponsors, racing associations,

   race sanctioning organizations, promoters, officials,  participants,  administrators, track operators, track owners,

   managers, drivers, pit crews,  rescue  personnel, advertisers, lessees and lessors, inspectors, underwriters, brokers,

   consultants, instructors, agents, surveyors, underwriters, personal representatives, assigns, executors and heirs and next

  of kin, for any and all claims, demands, losses, or damages of the  minor, on account of injury to the person or property

  or resulting in the death of  the  minor participant, while on the Gravity Park USA property, whether caused by the

   negligence of any and all of the RELEASES listed parties or any authorized or unauthorized person LISTED OR  NOT

   LISTED. Acknowledges that the activities or events are very dangerous and involve the risk of serious injury and/or

  death and/or property damages and that resulting injuries may be more serious due to rescue operations or procedures.    

3.Hereby agrees to assume full responsibility for the risk of bodily injury, death or property damage arising out of any

   activity including but not limited to practices times, races,  and  all activities at the Gravity Park USA property, whether

   caused by the negligence of THE RELEASES OR OTHERWISE.

 4.Hereby agrees to indemnify, save and hold harmless the RELEASES from any losses, damages or liabilities or costs

    including bodily injuries or property damages arising out of any activities occurring at the Gravity Park USA property,

   due to any causes or effects.

5.Hereby agrees that this annual Release and Waiver of Liability, Assumption of Risk and Indemnity agreement includes

   all acts of negligence by the RELEASES occurring at Gravity Park USA, is intended to be as broad and inclusive as

   permitted by the laws and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding,

   continue in full legal force and effect.  

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I, the undersigned, have read this 2008 Minor Release and Waiver of Liability Indemnity and Assumption of Risk

Agreement, understand fully, the terms and have given up substantial rights by freely and voluntarily signing this

Legal document without any inducement, assurance or guarantee being made to me and that I intend my signature to be an unconditional release of all liability, the highest level allowed by law.

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Parent/Guardian (1)_________________________________Date__________________

 I  represent that I have sole legal custody or am the sole parent/.guardian____Father ___Mother____Guardian

Printed Name_____________________________________Date________________  

Parent/Guardian  (2)___________________________Date______________

I represent that I have sole legal custody or am the sole parent/.guardian ____Father____Mother____Guardian

       Printed Name________________________________Date______________

  Subscribed and Sworn to at:________________________Before me this_____day of______,2008

_________________________________                      _________________________________________

Notary Public                                                               Notary Public-Printed Name

_________________County, State of______________________My Commission Expires____________