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MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
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IN CONSIDERATION OF MY MINOR CHILD ("THE MINOR") BEING PERMITTED TO PARTICIPATE IN ANY WAY IN THE SPORT OF OFF-ROAD RIDING, I AGREE: |
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I HAVE READ THIS PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND INDEMNITY AGREEMENT, UNDERSTAND THAT BY SIGNING IT I GIVE UP SUBSTANTIAL RIGHTS I AND/OR THE MINOR WOULD OTHERWISE HAVE TO RECOVER DAMAGES FOR LOSSES OCCASIONED BY THE "RELEASEES' FAULT, AND SIGN IT VOLUNTARILY AND WITHOUT INDUCEMENT. |
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FATHER OR GUARDIAN (print + sign name) |
NAME OF PARTICIPANT (print) |
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MOTHER OR GUARDIAN (print + sign name) |
WITNESS |
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| STREET CITY STATE ZIP | ||
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PAGE 1 OF 2 |
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YOU MUST ALSO COMPLETE & SIGN PAGE 2. - MINOR'S ASSUMPTION OF RISK FORM |
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MINOR'S ASSUMPTION OF RISK ACKNOWLEDGMENT
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I HAVE OBTAINED MY PARENTS CONSENT TO PARTICIPATE IN THE SPORT OF OFF-ROAD RIDING WITH THE MERIDIAN MOTORCYCLE ASSOCIATION, I UNDERSTAND THAT I AM ASSUMING ALL OF THE RISK IF I GET HURT DURING THE SPORT AND I STATE THE FOLLOWING: |
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I HAVE READ THE ABOVE ASSUMPTION OF RISK ACKNOWLEDGMENT, UNDERSTAND WHAT I HAVE READ, AND SIGN IT VOLUNTARILY. |
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SIGNATURE OF MINOR PARTICIPANT |
DATE |
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PRINTED NAME OF MINOR PARTICIPANT |
AGE |
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| SIGNATURE OF WITNESS | PRINTED NAME OF WITNESS | |
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PAGE 2 OF 2 |
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