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PARTICIPANT’S NAME______________________ DATE OF BIRTH_________
(Please Print)
IN
CONSIDERATION of being permitted to participate in any way with the
sport and activities of ATV/OHV RIDING while on the Cross Bar
Ranch, the City of Davis and the Davis Municipal Authority. I
acknowledge, appreciate and agree that:
1.
The risk of injury from the activity involved in ATV/OHV RIDING
is significant, including the potential for permanent disability and
death, and while particular protective equipment and personal discipline
will minimize this risk, the risk of serious injury does exist. Helmets
and boots must be worn at all times, no exceptions.
2.
I KNOWLINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE of the persons released from
liability below, and assume full responsibility for my participation;
and
3.
I understand that the activities of ATV/OHV RIDING are physically
and mentally intense. I understand the rules and will comply with all
the rules and regulations. If I observe any unusual or unnecessary
hazard during my participation, I will bring such to the attention of
the nearest official as so on as practical; and
4.
I, myself and on the behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE
CROSS BAR RANCH, CITY OF DAVIS AND THE DAVIS MUNICIPAL AUTHORITY, the
owners and lessors of the premises used to conduct the ATV/OHV RIDING
activities, their officers, agents and/or employees (“releasees”), WITH
RESPECT TO ANY AND INJURY, DISABILITY, DEATH, LOSS OR DAMAGE TO PERSON
OR PROPERTY, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERWISE,
except that which is the result of gross negligence and/or wanton
misconduct.
5.
I understand and agree that this Liability Agreement covers each and
every ATV/OHV RIDING activity and event in which I participate at
the premises of the Cross Bar Ranch, City of Davis and the Davis
Municipal Authority from this date forward.
6.
I release all photos taken of me while on the premises of the Cross Bar
Ranch, City of
Davis
and the Davis Municipal Authority. I understand that they may be used in
official marketing and/or park illustrations.
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 AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.
X
_________________________________________________________ DATE SIGNED
__________________________
PARTICIPANT’S SIGNATURE
___________________________________________________________
_________________________ ___________
ADDRESS
CITY, STATE
ZIP CODE
FOR
PARTICIPANTS UNDER AGE 18, PARENT OR GUARDIAN MUST APPEAR IN PERSON,
READ THIS FORM AND SIGN BELOW
This is to certify that I, as parent/guardian with legal responsibility,
do consent and agree not only to his/her release of the Cross Bar Ranch,
City of Davis, the Davis Municipal Authority and all other Releasees but
also release and indemnify the Releasees from any and all liabilities
incident to his/her involvement in these programs for myself, my heirs,
assigns and next of kin.
X___________________________________________________
_________________________________________
PARENT/GUARDIAN’S
SIGNATURE EMERGENCY PHONE
NUMBERS
________________________________ X
____________________________________________________________
Date Signed
WITNESSED BY
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