Minor Release and Waiver of Liability and Indemnity Agreement

_KAM Kartway_________________________Rhome, Tx______________All KAM Kartway Events for the Year 2008__________
Name of Event ANNUAL                                       Location                                        

IN CONSIDERATION of being allowed to participate in any way in the motorsport event or activity indicated above and/or being permitted to enter for any purpose any restricted area (herein defined as any wherein admittance to the general public is prohibited) ,the parent(s) and/or legal guardian(s) of the minor participant below agree: 

 

  1.   The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the above motorsport activity or event he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to  participate.

    2.     I/we fully understand and acknowledge that:
(a)     There are risks and dangers associated with participation in motorsport events which could result in bodily injury, partial and/or total disability, paralysis and death.
(b)    The social and economic losses and/or damages, which could result from those risks and dangers described above, could be severe
(c)     These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the "Releasees" named below.
(d)     There may be other risks not known to use or are not reasonably foreseeable at this time.

    3.      I/we accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole part by the negligence of the "Releasees" named below.

     4.     I/we HEREBY RELEASE, WAIVE, DISCHARGED AND COVENANT NOT TO SUE the promoter, participants, racing associations, sanctioning organizer or any subdivision there of, track operator, track owner, officials, car owners, drivers, pit crews, any persons in any restricted area, promoters, sponsors, advertisers, owners, lessees of premises used to conduct the event and each of them, their officers, agents and employees, all for the purpose herein referred as "Releasees," from all liability to the undersigned, my/our personal representatives, assigns, executers, heirs and next of kin for any and all claims, demands, losses or damages on account of any injury, including but not limited to the death of the participant or damage to property, caused or alleged to be cause in whole or in part by the negligence of the "Releasees" or otherwise.

     5.      On behalf of the participant and individually, the undersigned parent(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release . If, despite this release, the participant makes a claim against any of the "Releasees," the parent(s) and/or legal guardian(s) will reimburse the "Releasees" and their insuring company for any money paid to the participant, or on his behalf, and hold them harmless.

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENT.

1. I have read this release________________________________/____________________Date_______________
    Parent or Guardian (Signature/Relationship)

2.I have read this release________________________________/____________________Date_______________
     Parent or Guardian (Signature/Relationship)

Printed Name of Participant:__________________________________________________
Address of Participant:______________________________________________________
Printed Name of Parent or Guardian:1.__________________________________________
Printed Name of Parent or Guardian:2.__________________________________________

 

__________________________________, ____________________________________

     (LAST NAME) (minor child)                                         (FIRST NAME)

 


 

                                  CONSENT TO MEDICAL TREATMENT                                       

 I,_____________________________, the (parent) (guardian) of______________________, a minor  child whose birth date was____________,_____ and who is the child of ___________
_____________________and_____________________________ herby authorizes any duly authorized doctor, hospital or other medical facility to treat minor on or after _______________ _______________for the purpose of attempting to treat or relieve any injuries received by said minor while he was a participant or observer at KAM Kartway.

              I authorize any licensed physician to perform any procedure which he deems advisable in attempting to treat or relieve any injuries or any unhealthy condition of said minor that he may encounter during any necessary operation.

              I consent to the administration of anesthesia as deemed by an licensed physician.

              I realize and appreciate that there is a possibility of complications and unforeseen circumstances in any medical treatment and I assume any such risk on the behalf of myself and said minor I acknowledge that no warranty is being made ad to the results of any treatment.

________________________________  _________________________________
                  NAME                                            RELATIONSHIP TO MINOR
STATE OF__________________
COUNTY OF________________
BEFORE ME, a Notary Public in and for said County and State, personally appeared _________________________________ who acknowledge that he has read the above and foregoing instruments and that the execution of both was his voluntary act and deed and that all statements are true and correct.

Witness my hand and seal this__________________ day of_________________,_________.

                                                                         ____________________________________
                                                                         Notary Public in and for
                                                                        __________________county,_____________
                                                                       My Commission Expires:__________________