PLEASE TYPE IN YOUR EMAIL ADDRESS
HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by PALM BEACH COUNTY MOTORCYCLE RIDERS, AND OR BROKEN BONES RIDING ASSOCIATION, including any and all of its officers, or volunteers at any time or location, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released from dangerous activities controlled by them, or because of their possible liability without fault. I CERTIFY that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I CERTIFY that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident/Incident Waiver and Release of Liability Form will be used by the event / activity holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (1) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: PALM BEACH MOTORCYCLE RIDERS, AND OR BROKEN BONES RIING ASSOCIATION and/or their directors, officers, employees, volunteers, representatives, our sponsor COMPUTER HOSPITAL INC, and agents, and the activity holders, sponsors, and volunteers; (2) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph/form from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that Ric Dennis operating as/under PALM BEACH COUNTY MOTORCYCLE RIDERS, AND OR BROKEN BONES RIDING ASSOCIATION, and their directors, officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people, including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose without compensation and become the sole property of and by the activity holders, producers, sponsors, organizers, and assigns. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a TOTAL and COMPLETE release and waiver to the maximum extent permissible under applicable law. In the event this matter goes to litigation, the participant, or representative, being either an insurance company, lawyer, family, or other third party, agrees to pay all costs incurred including all attorney fees. Strictly preconditioned upon your unequivocal acceptance of and consent to all the provisions listed herein and further, that these provisions are contractual in nature and not a mere recital and is therefore, a material inducement to Pam Beach County Motorcycle Riders, and or Broken Bones RIDING ASSOCIATION, its principles, its volunteers, members and all independent contractors or sponsors agreeing to provide the services and or activities to you. In light of the foregoing, as a condition precedent to the afore mentioned riding groups, rendering said activities. You are hereby knowingly, intentionally, voluntarily, and irrevocably waive any and all rights you may have to a trial by jury, arbitration medium or court decision in respect of any action, proceeding or counterclaim based on any services or activities provided to you by the afore mentioned riding groups, or contractors, without limiting the generality of the foregoing, any and all claims, whether they be direct or vicarious in nature, for breach of contract (express or implied) promises, detrimental reliance, negligent hiring, negligent supervision, oversight or compensatory or punitive damages. You hereby further agree that any dispute between you and the afore mentioned groups will only be settled through informal negotiation DIRECTLY between you and the management of the afore mentioned groups only. By signing this contract / agreement, you agree to waive all your rights of dispute with any attorney or in court, or arbitration medium, and that the FINAL dispute resolution will be the sole decision of the management of the afore mentioned riding groups. And additionally, should you bring any legal action against PBCMR, BBRA, CHI, or it's contractors, its' principles, or employees personally you or your representatives on your behalf agree to be fully liable for all legal costs incurred by the afore mentioned riding groups known as PALM BEACH COUNTY MOTORCYCLE RIDERS (PBCMR) and or, BROKEN BONES RIDING ASSOCIATION (BBRA) , its contractors, principles, volunteers, or employees win or lose. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A FULL AND COMPLETE RELEASE OF LIABILITY WITHOUT LIMITATIONS AND A CONTRACT/AGREEMENT, AND I SIGN IT OF MY OWN FREE WILL. Should you or your representatives bring suit or other legal actions you agree win or lose that you will pay all our LEGAL and ALL OTHER ASSORTED COSTS, and the total fees you will be awarded if at all is limited to U.S. $100.00. In the event of a lack of an actual signature on your part, the mere fact of you joined the activities provided by the afore mentioned riding groups is your acceptance of this contract/agreement and automatically binds you and your representatives accordingly. Once you have merely JOINED either of our groups, or PARTICIPATED in one of our activities this contract/agreement shall remain in force indefinitely without restrictions of any law limitation. PLEASE TYPE IN YOUR FULL LEGAL NAME and EMAIL ADDRESS BELOW, THEN HIT SUBMIT. YOUR PRINTED NAME ACTS AS YOUR DIGITAL SIGNATURE AND IS LEGALLY BINDING. PLEASE TYPE YOUR FULL LEGAL NAME BELOW.
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