PARENTAL CONSENT, RELEASE AND VWAIVER OF LIABILITY ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT SEMO RACEWAY, SIKESTON, MISSOURI
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IN CONSIDERATION of my minor child ("the Minor") being permitted to participate in any way in the EVENT(S) and/or bing permitted to
enter for any purpose and RESTRICTED AREAS(S) (defined to be any area which requires special authorization, credentials or
permission to enter or any area to which admission by the general public is restricted or prohibited), I agree:
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). I will inspect the premises, facilities, and equipment to be used or with which the Minor may come in
contact and I will have the minor make such inspections. IF I OR THE MINOR BELIEVE ANYTHING IS UNSAFE, I WILL INSTRUCT THE
MINOR TO IMMEDIATELY LEAVE THE RESTRICTED AREA AND REFUSE TO PARTICIPATE FURTHER IN THE EVENT(S).
2. I FULLY UNDERSTAND and will instruct the Minor that: (a) THE ACTIVITIES OF THE EVENT(S)S ARE VERY DANGEROUS AND
participation in the Event(s) and/or entry into Restricted Areas 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 action or inactions of others participating in the Event(s), the rules of the Event(s), and the negligent
enforcement thereof, the condition, operation, design and layout of the premises and equipment, or lack or insufficiency thereof, or THE
NEGLIGENCE OF THE "RELEASES" NAMED BELOW; (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
SEVER 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, COST AND/OR DAMAGES
FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS OR DEATH, EVEN F CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE
OF THE "RELEASEES" NAMED BELOW.
4. I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE promoters, participants, racing associations, sanctioning
organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any
persons in any Restricted Area, sponsors, advertisers, owners and lessees of premises used to conduct the Event(s), premises or event
inspectors, surveyors, insurers, underwriters, consultants, and other persons or entities who give recommendations, directions or
instructions or engage in risk evaluation or loss control activities regarding the premises or Event(s) and each of them, their directors,
officers, agents and employees, all for the purposes herein referred to as "RELEASEES," 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 "RELEASEES" OR OTHERWISE.
5. If, despite this release, I the Minor or anyone on the Minor's behalf makes a claim against any of the "Releasees" named above, i
AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES 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
"RELEASEES" NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
6. I sign this agreement on my own behalf and on behalf of the Minor as the authorized parent or guardian 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 OR LOSSES OCCASIONED BY THE RELEASEES' FAULT, AND SIGN IT VOLUNTARILY AND
WITHOUT INDUCEMENT.
________________________________ ________________________________ ________________________________
Signature of Parent or Guardian Printed Name of Parent or Guardian Date
________________________________ ________________________________ ________________________________
Signature of Witness Printed Name of Witness Name of Minor Participant
MINOR'S ASSUMPTION OF RISK ACKNOWLEDGEMENT
________________________________ ___________________________ Description and location of Event(s) Date Release Signed
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I have obtained my parent's consent to participate in the above event(s). I understand that I am assuming all of the risks if I get hurt
during the event(s) and I state the following:
1. Both my parents and I believe I am qualified to participate in the event(s). I will inspect the premises and equipment and if at any
time, I feel anything to be unsafe, I will immediately leave and refuse to participate further in the event(s).
2. I UNDERSTAND THAT THE ACTIVITIES OF THE EVENT ARE VERY DANGEROUS AND INVOLVE RISKS AND DANGERS OF MY
BEING SERIOUSLY INJURED OR HURT, MY BEING PARALYZED OR KILLED.
3. I KNOW THAT THESE RISKS AND DANGERS MY BE CAUSED BY my 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
OTHERS, INCLUDING THOSE PERSONS RESPONSIBLE FOR CONDUCTING THE EVENT(S).
4. I ACCEPT AND ASSUME ALL SUCH RISKS OF BING HURT OR KILLED, and want to be allowed to participate in the event(s). I
HAVE READ THE ABOVE ASSUMPTION OF RISK ACKNOWLEDGMENT, UNDERSTAND WHAT I HAVE READ AND SIGN IT
VOLUNTARILY.
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Signature of Minor Participant Date
__________________________________________________________________ ____________________________________
Printed Name of Minor Participant Age
__________________________________________________________________ ___________________________________
Signature of Witness Printed Name of Witness