Southern Cruisers Riding Club

Date: ______________

Event: __________________________________________________________

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FOR MINORS

In consideration of my minor child (“the Minor”) being permitted to participate in a “Ride”, “Poker Run”, “Rally”, “Field Meet” or “Activity” (hereinafter, EVENT(S)) sponsored and/or conducted by Southern Cruisers Riding Club, local chapter(s) and their respective officers, board of directors, employees and agents (hereinafter, the “RELEASED PARTIES”) I agree as follows:

1. I know the nature of the EVENT(S) and the Minor’s experience and capabilities, and believe the Minor to be qualified to participate, in the EVENTS(S) or enter into restricted areas where the EVENT(S) are conducted. IF I OR THE MINOR BELIEVE ANYTHING IS UNSAFE, I WILL INSTRUCT THE MINOR TO IMMEDIATELY CEASE OR REFUSE TO PARTICIPATE FURTHER IN THE EVENT(S) AND/OR LEAVE THE RESTRICTED AREA.

2. I FULLY UNDERSTAND and will instruct the Minor that: (a) THE ACTIVITIES OF THE EVENT(S) MAY BE DANGEROUS and participation in the EVENT(S) and/or entry into Restricted Areas may involve RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by the Minor’s own actions or inactions, the actions or inactions of others participating in the EVENT(S), the rules of the EVENT(S), the condition and layout of the premises and equipment, or THE NEGLIGENCE OF THE “RELEASED PARTIES” in performing their chapter duties; (c) there may be OTHER RISKS NOT KNOWN TO ME or that are not readily foreseeable at this time; (d) THE SOCIAL AND ECONOMIC LOSSES and/or damages that could result from those Risks COULD BE SEVERE AND COULD PERMANENTLY CHANGE THE MINOR’S FUTURE.

3. I consent to the Minor’s participation in the EVENT(S) and/or entry into restricted areas and HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR THE LOSSES, COSTS AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS OR DEATH, EVEN IF CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASED PARTIES” IN PERFORMING THEIR CHAPTER DUTIES.

4. I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the “RELEASED PARTIES” sponsors, advertisers, owners and lessors of the premises used to conduct the EVENT(S), FROM ALL LIABILITY TO ME, THE MINOR, my and the minor’s personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY, including, but not limited to, death or damage to property, CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASED PARTIES” in performing their chapter duties.

5. If, despite, this release, I, the Minor or anyone on the Minor’s behalf makes a claim against any of the “RELEASED PARTIES” named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE “RELEASED PARTIES” and each of them from ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE “RELEASED PARTIES” NAMED ABOVE, ASSERTING NEGLIGENCE ON THE PART OF THE “RELEASED PARTIES” in performing their chapter duties.

6. I sign this agreement on my own behalf and on behalf of the Minor.

I HAVE READ THIS PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, UNDERSTAND THAT BY SIGNING IT I GIVE UP SUBSTANTIAL RIGHTS I AND/OR THE MINOR WOULD OTHERWISE HAVE TO RECOVER DAMAGES FOR LOSSES OCCASIONED BY THE “RELEASED PARTIES” FAULT, AND SIGN IT VOLUNTARILY AND WITHOUT INDUCEMENT.

Minors’s Name (printed) ___________________________________________________________________

_______________________________________ ______________________________________

Signature of Parent or Guardian Printed Name of Parent or Guardian

_______________________________________ ______________________________________

Signature of Witness Printed Name of Witness

____________________________________________________________________________________________________
     Form Title: SCRC_Minors_Waiver.htm                                                    Form Dated: May 8, 2007