You are on page 1of 1

MOTORCYCLE RACER RELEASE FORM

THE UNDERSIGNED (ON MY OWN BEHALF AND ON THE BEHALF OF MY HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS, ASSIGNS, AND
THOSE GRANTED POWER OF ATTORNEY IN MY ABSENCE), FOR AND IN CONSIDERATION OF THE OPPORTUNITY TO PARTICIPATE IN THE
MOTORCYLE FIGHT CLUB RACES, “HEREBY RELEASE THE MOTORCYCLE FIGHT CLUB RACES,” ITS ORGANIZERS, MEMBERS, OWNERS, SPONSORS,
EMPLOYEES, OTHER PARTICIPANTS, THIRD PARTIES AND RESPRESENTATIVES ON THIS MOTORCYLE RACING EVENT FROM ANY CLAIMS AND
DEMANDS, RIGHTS AND CAUSES OF LEGAL ACTION OF ANY KIND WHATSOEVER WHICH I NOW HAVE OR LATER MAY HAVE FROM RESULTING,
ARISING OUT OF OR IN CONNECTION WITH MY PARTICIPATION IN THIS RACE EVENT FOR THE ENTIRITY OF THE EVENT.

THIS RELEASE EXTENDS TO ANY AND ALL CLAIMS I HAVE OR MAY HAVE AGAINST THE RELEASED PARTIES WHETHER SUCH CLAIMS RESULT FROM
NEGLIGENCE (EXCEPT WILLFUL NEGLIGENCE) ON THE PART OF ANY OR ALL RELEASED PARTIES WITH RESPECT TO THIS EVENT, AND/OR WITH
RESPECT TO THE CONDITIONS, QUALIFICATIONS, INSTRUCTIONS OR PROCEDURES UNDER WHICH THIS EVENT IS CONDUCTED OR FROM ANY
INJURIES AND/OR DAMAGES RESULTING TO MY PROPERTY OR MYSELF DURING OR IN CONNECTION WITH THIS EVENT.

I AM AN EXPERIENCED MOTORCYCLE RIDER AND FAMILIAR WITH THE OPERATION OF MOTORCYCLES AND FULLY UNDERSTAND THE RISKS AND
DANGERS INHERENT TO MOTORCYCLING AND RACING. I AM VOLUNTARILY PARTICIPATING AND PARTICIPATED IN THE EVENT AND EXPRESSLY
AGREE TO ASSUME THE ENTIRE RISK OF ANY ACCIDENTS OR PERSONAL INJURY INCLUDING OR RESULTING IN DEATH, WHICH I MIGHT SUFFER AS
A RESULT OF MY PARTICIPATION IN THE EVENT WHETHER SUCH RISKS RESULTS FROM NEGLIGENCE (EXCEPT WILLFUL NEGLECT) ON THE PART OF
ANY OR ALL OF THE RELEASED PARTIES. I, ALSO, EXPRESSLY ASSUME ANY DAMAGES TO MY PROPERTY THAT I USE IN THIS RACING EVENT.

THE UNDERSIGNED ACKNOWLEDGES THAT THERE WILL BE NO ALCOHOLIC BEVERAGES AND/OR ANY CONTROLLED DANGEROUS SUBSTANCES
AT THE RIDE DESTINATION AND/OR EVENT AT CARMELO, TUBURAN, CEBU, AND ANY CONSUMPTION OF ALCOHOLIC BEVERAGES OR THE USE OF
ANY CONTROLLED DANGEROUS SUBSTANCES WILL BE AT THE WILL OF THE UNDERSIGNED AND IS PROHIBITED AND NOT WILLED BY THE
CARMELO, TUBURAN, CEBU MOTORCYCLE FIGHT CLUB RACING EVENT AND WILL LEAD TO DISQUALIFICATION, WITH NO REFUND, OF ANY
RACER, THEREBY FORFITTING ANY POSITION OR RANKING HE/SHE MAY HAVE HELD, AS THE RACING EVENT CONTINUES. THE RELEASED PARTIES
STRONGLY ADVISE THE UNDERSIGNED NOT TO DRINK ALCOHOLIC BEVERAGES AND/OR USE ANY CONTROLLED DANGEROUS SUBSTANCES
BEFORE AND/OR DURING THIS EVENT, AND THAT IF THE UNDERSIGNED FEELS THAT HE/SHE IS THE SLIGHEST BIT IMPARIED, THAT THEY NOT
PARTICIPATE IN THE RACE. THE UNDERSIGNED ACKNOWLEDGES THE RELEASED PARTIES HAVE EXPRESSLY INFORMED HIM/HER OF THE
DANGERS OF INTOXICATION, BEING UNDER THE INFLUENCE AND THE DANGERS OF DRUG USE WHILE OPERATING MACHINERY OR ANY
MOTORIZED VEHICLE AND RACING.

THIS IS A RELEASE – PLEASE READ BEFORE SIGNING

BY SIGNING THIS RELEASE, I CERTIFY THAT I HAVE READ THIS RELEASE AND FULLY UNDERSTAND IT AND ITS’
CONTENTS AND I AM NOT RELYING ON ANY STATEMENT OR REPRESENTATION OF ANYONE, THEREBY AND DO
CLAIM THAT I HAVE MOTORCYCLE INSURANCE AND A VALID DRIVER’S LICENSE WITH A MOTORCYCLE
ENDORSEMENT.

SIGNATURE: _________________________________ DATE: _______________________

PRINTED NAME: _________________________________ DOB: _______________________

PHONE: ____________________________

ADDRESS: ____________________________

BARANGAY: ____________________________

PROVINCE: ____________________________

CITY: ____________________________

COUNTRY: PHILIPPINES

EMAIL: ____________________________

You might also like