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FKA Racing, Inc. 3994 NW 36 Loop, Jennings, FL. 32053 Phone: (386) 938-4211; Fax (386) 938-3564 E-Mail: sims1@alltel.net |
| Please print this form and mail in for minors and FKA's protection! | |
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MINOR RELEASE AND WAIVER OF |
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READ CAREFULLY! THIS IS A RELEASE |
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I/WE HEREBY RELEASE, WAIVE, COVENANT NOT TO SUE AND DISCHARGE the promoter, participants, racing association, sanctioning organization or any subdivision thereof, track operator, track owner, officials, vehicle owners, drivers, pit crews, any restricted area, promoters, sponsors, advertisers, owners, leases of premises used to conduct the event and each of them, their officers and employees, all for the purposes therein referred to as "Releases", from all liability to the undersigned, my/our personal representatives, assigns, heirs and next of kin for any and all loss or damage and any claim or any demand on account of any injury to the participant included, but not limited to, death whether caused by the negligence of the "Releases" or otherwise while the minor is in or upon the restricted area and/or competing, officiating in, observing, working for or for any purpose participating in the event. I/we will inform and instruct the said minor participant that upon entering any restricted area the minor must continuously thereafter inspect such restricted area and all portions thereof which the minor enters and with which he/she comes in contact and I/we further warrant that the minor's entry upon such restricted area or areas and his/her participation, if any, in the event constitutes and acknowledgment that he/she, (minor), has inspected such restricted area and that he/she finds and accepts the same as being safe and reasonably suited for the purposes of his/her use, and he/she further agrees and warrants that if, at any time he/she is in or about restricted areas and if he/she feels anything is unsafe, he/she will immediately advise the officials of such and will leave the restricted areas. The undersigned expressly acknowledge and agree that the activities of the event are very dangerous and involve the risk of serious injury and/or death and/or property damage. Each of the undersigned parents or legal guardians for the minor participant agrees to indemnify and save and hold harmless the "Releases" and each of them from any loss, liability, damage or cost they may incur due to the presence of the said minor in or upon the restricted area or in any way competing, officiating, observing or working for any purpose participating in the event and caused by the negligence of the "Releases" or otherwise. THE UNDERSIGNED PARENTS OR LEGAL GUARDIANS HAVE READ AND VOLUNTARILY SIGN THE MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. |
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| PRINT NAME OF PARENT OR GUARDIAN NAME OF PARTICIPANT (Print) | |
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| SIGNATURE OF PARENT OR GUARDIAN WITNESS | |
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