'Round Long Island Liability Waiver
Liability Waiver & Release Agreement
By participating in the Long Island MINI Caravan 'Round Long Island: A MINI Rally (hereinafter "the Rally"
, I represent that I am at least 18 years of age and have a valid driver's license. I further represent that I have all necessary licenses and insurance to operate my MINI and to participate in the Rally, and that I am not taking any drugs or medication, I am not under the influence of alcohol, nor do I have any physical or mental limitations, that would interfere with my safe participation in the Rally. I recognize that the operation of any MINI is an inherently dangerous activity with a risk of damage or loss of the MINI and serious injury or death to myself and/or to my passengers. I understand that these risks include, but are not limited to: inclement weather, road surface conditions, debris on roads, varying road widths, curves and other vehicles and pedestrians sharing the roadway, and the skills of other participants in the Rally. _______ (initials)
In consideration for being permitted to participate in the Rally in which I choose to participate on April 25, 2004, I the Undersigned on behalf of myself and any and all my passengers, my heirs, executors, administrators, assigns and legal representatives, agree and indemnify, defend and hold harmless Robert Friedman and Susan Friedman (hereinafter "the Organizers"
and their Representatives, individually and in the capacity indicated, from and against any and all damages, claims, suits, causes of action to and against a person and property, (including but not limited to attorney's fees) arising in connection with or related to my participation in the Rally. _________ (initials)
Further, I assume all the risk of injury and loss, waive and release any claim of damage and injury of any nature I might state against the Organizers and their Representatives who assist in the capacity indicated, arising out of my participation in the Rally. __________ (initials)
I have fully read and understood this document and/or I have consulted with legal and/or other advisors of my choice before signing this Unconditional Waiver and Release, and I enter into freely and on behalf of myself and my passengers, my heirs, successors and assignees. ___________ (initials)
This Unconditional Waiver and Release shall be constructed under the laws of the State of New York, and the exclusive venue for the resolution of all disputes pertaining to the Rally shall be in the appropriate municipal, state, or federal court located closest to where the event is taking place.
Signature: __________________________________
Name Printed: ______________________________
Date: _____________________________________
Phone: ____________________________________
MINI Model __________ Color ________/________
License Plate ___________________ State ________
Names of all passengers riding in my MINI:
_____________________________ _________________________________
_____________________________ _________________________________
By participating in the Long Island MINI Caravan 'Round Long Island: A MINI Rally (hereinafter "the Rally"
, I represent that I am at least 18 years of age and have a valid driver's license. I further represent that I have all necessary licenses and insurance to operate my MINI and to participate in the Rally, and that I am not taking any drugs or medication, I am not under the influence of alcohol, nor do I have any physical or mental limitations, that would interfere with my safe participation in the Rally. I recognize that the operation of any MINI is an inherently dangerous activity with a risk of damage or loss of the MINI and serious injury or death to myself and/or to my passengers. I understand that these risks include, but are not limited to: inclement weather, road surface conditions, debris on roads, varying road widths, curves and other vehicles and pedestrians sharing the roadway, and the skills of other participants in the Rally. _______ (initials)In consideration for being permitted to participate in the Rally in which I choose to participate on April 25, 2004, I the Undersigned on behalf of myself and any and all my passengers, my heirs, executors, administrators, assigns and legal representatives, agree and indemnify, defend and hold harmless Robert Friedman and Susan Friedman (hereinafter "the Organizers"
and their Representatives, individually and in the capacity indicated, from and against any and all damages, claims, suits, causes of action to and against a person and property, (including but not limited to attorney's fees) arising in connection with or related to my participation in the Rally. _________ (initials)Further, I assume all the risk of injury and loss, waive and release any claim of damage and injury of any nature I might state against the Organizers and their Representatives who assist in the capacity indicated, arising out of my participation in the Rally. __________ (initials)
I have fully read and understood this document and/or I have consulted with legal and/or other advisors of my choice before signing this Unconditional Waiver and Release, and I enter into freely and on behalf of myself and my passengers, my heirs, successors and assignees. ___________ (initials)
This Unconditional Waiver and Release shall be constructed under the laws of the State of New York, and the exclusive venue for the resolution of all disputes pertaining to the Rally shall be in the appropriate municipal, state, or federal court located closest to where the event is taking place.
Signature: __________________________________
Name Printed: ______________________________
Date: _____________________________________
Phone: ____________________________________
MINI Model __________ Color ________/________
License Plate ___________________ State ________
Names of all passengers riding in my MINI:
_____________________________ _________________________________
_____________________________ _________________________________
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