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If
printing and pre-completing waiver and rules bring the entire document or it
will not be valid. |
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KI TRACKS, INC WAIVER
OF LIABILITY |
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IMPORTANT INFORMATION |
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Ki Tracks,
Inc. is committed to conducting its recreation programs and activities in a
safe manner and holds the safety of participants in high regard. Ki Tracks,
inc continually strives to reduce such risks and insists that all
participants follow safety rules and instructions that are designed to
protect the participants' safety. However, participants and parents/guardians
of minors entering this facility should recognize that there is an inherent
risk of injury when choosing to participate in off road recreational
activities. |
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Off-highway
vehicles (OHV's) are dangerous if not operated carefully, so you should take
special care to prevent injury. Knowing all you can about your OHV and about
the rules and regulations controlling its use will help you prepare for safe
and enjoyable driving. As in all sports, experience plays a major role in
reducing accidents. Begin gradually on gentle terrain before attempting more
difficult trails. Before attempting a challenging trail ride, travel your
intended course slowly at first. New hazards, such as fallen trees, may show
up overnight. |
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You are
solely responsible for determining if you or your minor child/ward are
physically fit and/or adequately skilled for the activities contemplated by
this agreement. It is always advisable, especially if the participant is
pregnant, disabled in any way or recently suffered and illness, injury or
impairment, to consult a physician before undertaking any physical activity. |
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initial |
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WARNING OF RISK |
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OHV trail
or track riding, is an activity that challenges and engages the physical,
mental and emotional resources of each user. However, despite careful and
proper preparation, instruction, medical advice, conditioning and equipment,
there is still a risk of serious injury, including but not limited to death, head/brain injury and cervical spine injury (including
quadriplegia). |
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initial |
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Understandably,
not all hazards and dangers can be foreseen. Contributing factors to such
risks include unfamiliarity with the trail; failing to wear protective
equipment; losing control of the vehicle; inexperienced riders; riding to
fast for conditions; adverse trail or weather conditions; excessive speed;
poor knowledge of the capabilities of the vehicle; poor understanding of
safety rules, laws, and regulations; carrying passengers; hitting visible or
hidden fixed objects; unstable vehicle, impaired judgment and skill due to
alcohol or drug consumption; mechanical malfunctions; striking an
irregularity in the riding surface; losing balance; trying to perform stunts;
inadequate or defective equipment; failure in supervision; attempting a
maneuver beyond one's skill level, and all other circumstances inherent to
trail or dirt riding. In this regard, it must be recognized
that it is impossible for Ki Tracks, Inc. to guarantee any safety. |
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initial |
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RELEASE OF ALL CLAIMS
AND ASSUMPTION OF RISK |
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Read this
form carefully and be aware that in signing up and participating in this
activity, you will be expressly assuming the risk and legal
liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustaining as a result
of participating in any and all activities connected with and associated with
this activity. |
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initial |
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I recognize
and acknowledge that there are certain risks of physical injury to
participants in this activity, and I voluntarily agree to assume the full
risk of any injuries, damages or loss, regardless of severity, that my minor
child/ward or I may sustain as a result of participation in any and all
activities connected with or associated with trail or dirt riding. I further agree to waive and relinquish all claims I, or my minor
child/ward may have (or accrue to me or my child/ward) as a result of
participating in this program against Ki Tracks, Inc. including its
officials, agents volunteers and employees. |
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initial |
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I do hereby
fully release and forever discharge Ki Tracks, Inc. from any and all claims for injuries, damages or loss that my minor child/ward or I may
have or which may accrue to me or my minor child/ward and arising out of,
connected with, or in any way associated with this activity. |
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initial |
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OFFICE USE
ONLY: Date: / /
Time:
S / M / d / d13 $ |
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ENTRANCE
WILL BE DENIED if the signature and date of the adult participant or both
parents/guardians are not on this waiver. |
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All information must
be complete and legible |
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Name |
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Driver License # |
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Address |
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Date of Birth |
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Age |
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City, State, Zip |
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Phone # (
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Email |
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(Ki Tracks sends
information/track updates via email) |
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OHV (Off Highway
Vehicle) Information: |
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Year: |
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Make: |
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Model: |
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I
have read and fully understand both page one and two of this waiver. |
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Signature |
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Date |
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(Signatures good thru
12-31-08) |
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Emergency information
(Must be completed) |
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Contact Name |
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Relationship |
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Address |
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City, State, Zip |
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Phone # (
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List
medical conditions that would be beneficial for us to know
in the event that you are injured and unable to converse with responding
individuals. (i.e. Diabetes, allergies or necessary medications) This
information will be kept confidential and is solely for the purpose of helping
to assist you in the event of an emergency. |
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If not applicable
write "NONE" |
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Parent/Guardian
Signatures for anyone under the age of 18. |
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Parent/Guardian 1
Signature |
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Date |
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Parent/Guardian 2
Signature |
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Date |
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