WAIVER AND RELEASE OF LIABILITY


READ BEFORE SIGNING
 
In consideration of being allowed to participate in any way in the Avanti Racing program, its
related events and activities, I, , the undersigned, acknowledge, appreciate,
and agree that:
1.
The risk of injury from the activities involved in this program is significant, including the potential for
permanent paralysis and death, and while particular skills, equipment, and personal discipline may
reduce this risk, the risk of serious injury does exist; and,
2.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF
ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility
for my participation; and,
3.
I willingly agree to comply with the stated and customary terms and conditions for participation. If,
however, I observe any unusual significant hazard during my presence or participation, I will remove
myself from participation and bring such to the attention of the Company immediately; and,
4.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE, INDEMNIFY, AND HOLD HARMLESS Avanti Racing and USA Cycling, Inc., their officers,
officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and,
if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO
ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with
my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES
OR OTHERWISE, to the fullest extent permitted by law.
 
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
 
Participant Age

Leave this empty:

Signature arrow

Signature Certificate
Document name: WAIVER AND RELEASE OF LIABILITY
lock iconUnique Document ID: 035ccd9a448323da1dd3f08a45611229feecf5c6
Timestamp Audit
2016-02-15 21:17:06 PSTWAIVER AND RELEASE OF LIABILITY Uploaded by Avanti Racing - waivers@avanti-racing.com IP 174.61.238.38