Welcome to our Club
Waiver Section
All members and those
wishing to join the Belleville Mudd Boggers 4x4 Club must read and sign
the waiver form listed below. This form can be copied and pasted in word
format but will be provided to you at a club meeting for you to sign. No
person or persons may become a member without signing this waiver form.
RELEASE
AND WAIVER OF LIABILITY
AND
INDEMNITY AGREEMENT TO:
The
Belleville Mudd Boggers 4x4 Club
In
consideration of being permitted to participate in any event sponsored
by, promoted or directed by The Belleville Mudd Boggers 4x4 Club,
the undersigned for himself/herself, his/her personal representatives,
heirs and next of kin, HEREBY RELEASES The Belleville Mudd
Boggers 4x4 Club, it's officers, directors,
promoters, sponsors and volunteers of all liability to the undersigned,
his/her personal representatives, heirs and next of kin for any loss or
damage on account of injury to the undersigned or his/her property or
resulting in the death of the undersigned whether caused by the
negligent act or omission of Releasees or otherwise participating in any
such event. It is fully understood by the undersigned that there is some
inherent risk associated with club events including damage to vehicles.
In addition, the undersigned AGREES TO INDEMNIFY AND HOLD HARMLESS
the Releasees from any loss, liability, damage or cost they may incur
due to such participation by the undersigned, whether caused by
Releasees negligence or otherwise AND AGREES TO ASSUME FULL RESPONSIBILITY
AND RISK for bodily injury, death or property damage
from Releasees negligence or otherwise while the undersigned is
participating in club events. In signing this release, the undersigned
hereby acknowledges and represents the following:
1.
That he or she had read the foregoing Release and Waiver of
Liability and Indemnity Agreement;
2.
That he or she shall at all times , while riding in a vehicle
participating in club, events, wear their respective seat belt;
3.
That the undersigned operator of vehicle participating in any
club event is solely responsible for the safety of all passengers and
equipment which may be in the vehicle during any club event;
4.
That the owner/driver certifies that he/she has inspected the
vehicle and same is in good mechanical condition;
5.
That the owner/driver has informed himself/herself about the
event and trails involved in the event, either by prior participation or
by investigation into the event and trails;
6.
That the undersigned has read, understands and has been given a
copy of the club rules and regulation and agrees to abide by same;
7.
That The Belleville Mudd Boggers 4x4 Club will not be held liable
nor responsible for damage caused by club members acting on their own
behalf, outside of scheduled events;
8.
That the undersigned agrees to maintain a valid insurance and
driver's license;
9.
That
the undersigned is aware that any infraction of club rules and
regulations may result in immediate termination of club membership with
no refund of membership dues.
Signed
by:___________________________________________
Dated:___________________________
Print
Name:_____________________________________________
Witnessed
by:________________________________________
Dated:___________________________
Print
Name:_____________________________________________
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