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Road Ride (Street) Waiver
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Road Ride (Street) Waiver
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Person should seek legal advise prior to signing a legal document.
Date
Name
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PACIFIC MOTORCYCLE SCHOOL INC. WAIVER, INDEMNIFICATION & RELEASE OF LIABILITY
PACIFIC MOTORCYCLE SCHOOL INC. WAIVER, INDEMNIFICATION & RELEASE OF LIABILITY
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I have read and agree to the waiver, indemnification & release of liability below:
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I HEREBY ACKNOWLEDGE AND AGREE that I have voluntarily applied to PACIFIC MOTORCYCLE SCHOOL INC., doing business as Pacific Riding School (“Pacific Riding School”) for motorcycle instruction, training and participation (“Motorcycle Activities”). I understand that the covenants and conditions of this waiver are reasonable and necessary for Pacific Riding School to provide me with Motorcycle Activities. I understand and acknowledge that my participation in the Motorcycle Activities require physical stamina, motor coordination and mental alertness. I hereby attest that I have no know physical or mental limitation and have not used any form of prescription or non-prescription drugs or alcohol that could impair my performance.
THIS IS A RELEASE, ASSUMPTION OF RISK, WAIVER & COVENANT NOT TO SUE AGREEMENT
THIS IS A RELEASE, ASSUMPTION OF RISK, WAIVER & COVENANT NOT TO SUE AGREEMENT
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I have read and agree to the release, assumption of risk, waiver & covenant not to sue agreement below:
*
IN CONSIDERATION of Pacific Riding School, 0827394 B.C. Ltd., its affiliated organizations, employees, agents, officers, directors, shareholders, owners (namely Dat Louie, Mark Kruger or otherwise), landowners, successors, assigns (“Pacific Riding School Providers”), providing for my participation in the Motorcycle Activities, furnishing other services, equipment, and/or curriculum, I AGREE AS FOLLOWS:
I FULLY UNDERSTAND AND ACKNOWLEDGE that:
(1) The Motorcycle Activities or use of equipment involve DANGERS AND RISKS OF INJURY, DAMAGE, OR DEATH;
(2) My participation in Motorcycle Activities may result in injury or illness, including, but not limited to, BODILY INJURY, DISEASE STRAINS, FRACTURES PARTIAL AND/OR TOTAL PARALYSIS, OTHER AILMENTS THAT COULD CAUSE SERIOUS DISABILITY, OR DEATH; and that any such injury or illness may lead to FURTHER COSTS including, but not limited to, RECOVERY EXPENSES OF DOCTORS, PHYSIOTHERAPISTS, MASSAGE THERAPISTS, OR OTHER REHABILITATION COSTS, AND EXPENSES DUE TO MENTAL OR PHYSICAL DISABILITY, EXPENSES FOR LOST WAGES, and OTHER EXPENSES;
(4) such risks and dangers may be caused by the negligence of Pacific Riding School Providers, negligence of others, or by other participants, or by foreseeable or unforeseeable cause;
(5) by participating in the Motorcycle Activities and/or use of equipment, I, ON BEHALF OF MYSELF, MY HEIRS, GUARDIANS, LEGAL AND PERSONAL REPRESENTATIVES, HEREBY ASSUME ALL RISKS AND ALL RESPONSIBILITY AND AGREE TO RELEASE THE PACIFIC RIDING SCHOOL PROVIDERS, FOR ALL INJURIES, DAMAGES, PROPERTY DAMAGES INCLUDING THOSE CAUSES BY NEGLIGENCE OR PACIFIC RIDING SCHOOL PROVIDERS OR OTHERS OR HOWSOEVER CAUSED.
I AGREE AND UNDERSTAND THAT I, ON BEHALF OF MYSELF, MY HEIRS, GUARDIANS, LEGAL AND PERSONAL REPRESENTATIVES, HEREBY RELINQUISH ANY AND ALL RIGHTS I NOW HAVE OR MAY HAVE IN THE FUTURE TO SUE THE PACIFIC RIDING SCHOOL PROVIDERS for any and all injury, damage, or death I may suffer arising from Motorcycle Activities or equipment, including negligence claims.
I HAVE CAREFULLY READ THIS RELEASE AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, AND BY SIGNING BELOW I AGREE THAT IT IS MY INTENTION TO ASSUME ALL RISKS AND RELEASE THE PACIFIC RIDING SCHOOL PROVIDERS FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH OR ANY OTHER CAUSE AND THAT THE PACIFIC RIDING SCHOOL PROVIDERS ARE NOT RESPONSIBLE FOR ANY DAMAGE TO MY OWN MOTORCYCLE OR PERSONAL GEAR. I have had the opportunity to ask any question about the waiver and release.
THIS IS AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
THIS IS AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
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I have read and agree to the first indemnification and hold harmless agreement below:
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IN CONSIDERATION of Pacific Riding School, its affiliated organizations, employees, agents, officers, directors, shareholders, owners (namely Dat Louie, Mark Kruger or otherwise), landowners, successors, assigns (“Pacific Riding School Providers”), providing for my participation in the Motorcycle Activities, furnishing other services, equipment, and/or curriculum, I AGREE AS FOLLOWS:
I, ON BEHALF OF MYSELF, MY HEIRS, GUARDIANS, LEGAL AND PERSONAL REPRESENTATIVES, HEREBY agree to hold harmless, defend, and indemnify the Pacific Riding School Providers from any and all claims, suits, or causes of action by others for bodily injury, property damage, or other damages, including all legal costs, which may arise from my participation in Motorcycle Activities, the use of motorcycles and motorcycle equipment, including claims from Pacific Riding School Providers or any other party’s negligence.
I HAVE CAREFULLY READ THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR LAWSUITS AGAINST PACIFIC RIDING SCHOOL PROVIDERS ARISING FROM MY PARTICIPATION IN MOTORCYCLE ACTIVITIES. I have had the opportunity to ask any questions about this indemnification and hold harmless agreement.
EMERGENCY CONTACT #1
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EMERGENCY CONTACT #2
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THIS IS A CONSENT TO PHOTOGRAPH/VIDEO AND RELEASE AUTHORIZATION
THIS IS A CONSENT TO PHOTOGRAPH/VIDEO AND RELEASE AUTHORIZATION
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I have read and agree to the photograph/video and release authorization below:
I do not agree
I give permission to Pacific Riding School Inc., and/or parties designated by Pacific Riding School Inc. to photograph/video me and use such photograph(s)/video(s) in all forms of media, for any and all promotional purposes including advertising, display, audiovisual, exhibition or editorial use.
I further consent to the use of my name in connection with the photograph(s)/video(s) if needed.
I understand and agree that I will not receive any payment for my time or expenses or any royalty for the publication of the photograph(s)/video(s) or the use of my name and I hereby release from any such claims. I certify that I have read and fully understand this consent and release, and that all questions pertaining to this consent have been answered to my satisfaction.
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PARENTAL / LEGAL GUARDIAN CONSENT (required if the participant is less than 19 years of age):
Parental / Legal Guardian Name
*
First
Last
Parental / Legal Guardian Consent
*
I, named above, agree with the paragraph below. (Your signature will be required on the first classroom day.) I am the parent or legal guardian of the participant, and I hereby authorize my child to participate in the Motorcycle Activities. I have fully read and understand the Waiver and Indemnity Agreements shown above. By signing this form, I am agreeing on behalf of myself, my estate, my heirs, representatives and assigns and the estate of my child not to sue and to indemnify Pacific Riding School Providers for any loss or damages resulting from the participation of my child.
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PACIFIC MOTORCYCLE SCHOOL INC. AND MOTO GYMKHANA VANCOUVER CHECKLIST AND DISCLOSURE
I HEREBY ACKNOWLEDGE AND AGREE that I have voluntarily applied to PACIFIC MOTORCYCLE SCHOOL INC. for motorcycle instruction, training and participation (“Motorcycle Activities”). IN CONSIDERATION of Pacific Riding School, 0827394 B.C. Ltd., .its affiliated organizations, employees, agents, officers, directors, shareholders, owners (namely Dat Louie, Mark Kruger or otherwise), landowners, successors, assigns (“Pacific Riding School Providers”) providing for my participation in the Motorcycle Activities, furnishing other services, equipment, and/or curriculum, I ACKNOWLEDGE AND UNDERSTAND that in order to ensure my safety, the safety of other participants, Pacific Riding School Providers, and others, that Pacific Riding School is RELYING ON ME TO WARRANT THAT FOLLOWING ARE TRUE BY ME SELECTING EITHER YES OR NO TO THE FOLLOWING QUESTIONS, in order to allow my participation in Motorcycle Activities, and that I ACKNOWLEDGE AND UNDERSTAND that the following requirements of Pacific Riding School Providers are reasonable and necessary for Pacific Riding School to provide me with Motorcycle Activities.
During the course and all subsequent practice sessions:
I will have a valid Class 6 licence or equivalent motorcycle licence
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Yes - I will have a valid Class 6 licence or equivalent motorcycle licence
I am mentally and physically alert and well rested
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Yes - I am mentally and physically alert and well rested
No
I am wearing a well-fitting Snell or Equivalent, full faced helmet
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Yes - I am wearing a well-fitting Snell or Equivalent, full faced helmet
I am wearing leather boots with ankle protection or motorcycle boots
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Yes - I am wearing leather boots with ankle protection or motorcycle boots
I am wearing proper full-fingered motorcycle gloves
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Yes - I am wearing proper full-fingered motorcycle gloves
I understand the Pacific Riding School is not responsible for any damage to my motorcycle or personal equipment
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Yes - I understand the Pacific Riding School is not responsible for any damage to my motorcycle or personal equipment
I hereby represent and warrant that my motorcycle is in safe, working condition, and I have regularly serviced the motorcycle to maintain it in a safe, working condition, and I believe that my motorcycle is completely safe for all Motorcycle Activities in the course.
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Yes - I hereby represent and warrant that my motorcycle is in safe, working condition, and I have regularly serviced the motorcycle to maintain it in a safe, working condition, and I believe that my motorcycle is completely safe for all Motorcycle Activities in the course.
I hereby represent and warrant that I carry insurance from the Insurance Corporation of British Columbia (ICBC) or equivalent which covers me for all Motorcycle Activities in the course.
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Yes - I hereby represent and warrant that I carry insurance from the Insurance Corporation of British Columbia (ICBC) or equivalent which covers me for all Motorcycle Activities in the course.
I understand that I am volunteering to participate in the course, and I am free not to participate in the training for any reason.
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Yes - I understand that I am volunteering to participate in the course, and I am free not to participate in the training for any reason.
I understand that at any time during the training, I can cease to participate by pulling over to a safe spot.
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Yes - I understand that at any time during the training, I can cease to participate by pulling over to a safe spot.
I understand that I am free to ride within my own ability and comfort level.
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Yes - I understand that I am free to ride within my own ability and comfort level.
I understand that the “Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability” must be signed before my participation in the lot training.
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Yes - I understand that the “Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability” must be signed before my participation in the lot training.
I understand that this “Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability (the “Waiver”)”, applies to the road ride, and all services provided by Pacific Motorcycle School Inc., their agents, owners, volunteers, participants, employees, and all other persons acting on their behalf. I hereby agree to release and discharge Pacific Motorcycle School Inc. as follows: I ACKNOWLEDGE, UNDERSTAND AND AGREE TO ASSUME ALL RISKS IN PARTICIPATING IN THE ROAD RIDE, AND I WILL BEAR ALL COSTS, INCLUDING BUT NOT LIMITED TO, COSTS ASSOCIATED WITH ANY INJURY, TEMPORARY OR PERMANENT DISABILITY, DEATH, DAMAGES, LIABILITIES, REHABILITATION OR LOST WAGES, ATTRIBUTABLE OR RELATING IN ANY MANNER TO THE ROAD RIDE.
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Yes - I understand that this “Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability (the “Waiver”)”, applies to the road ride, and all services provided by Pacific Motorcycle School Inc., their agents, owners, volunteers, participants, employees, and all other persons acting on their behalf. I hereby agree to release and discharge Pacific Motorcycle School Inc. as follows: I ACKNOWLEDGE, UNDERSTAND AND AGREE TO ASSUME ALL RISKS IN PARTICIPATING IN THE ROAD RIDE, AND I WILL BEAR ALL COSTS, INCLUDING BUT NOT LIMITED TO, COSTS ASSOCIATED WITH ANY INJURY, TEMPORARY OR PERMANENT DISABILITY, DEATH, DAMAGES, LIABILITIES, REHABILITATION OR LOST WAGES, ATTRIBUTABLE OR RELATING IN ANY MANNER TO THE ROAD RIDE.
DISCLAIMER: By typing your full legal name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
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I have carefully read this checklist and disclosure agreement and by signing above I have understood and honestly answered all the questions asked and understand that Pacific Riding School is relying on my honest answers in order to allow for my participation in the course and practice sessions, and further, by signing the "Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability" that it is my intention to assume all risks and release the Pacific Riding School providers from liability for personal injury, property damage, or wrongful death, and that I am accepting complete legal responsibility and pay for any loss for lawsuits against Pacific Riding School providers arising from my participation in all motorcycle activities.
I have had the opportunity to ask any questions about this checklist.
**** PARENT / GUARDIAN ONLY **** DISCLAIMER: By typing your full legal name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. (copy)
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I have carefully read this checklist and disclosure agreement and by signing above I have understood and honestly answered all the questions asked and understand that Pacific Riding School is relying on my honest answers in order to allow for my participation in the course and practice sessions, and further, by signing the "Pacific Motorcycle School Inc. Waiver, Indemnification & Release of Liability" that it is my intention to assume all risks and release the Pacific Riding School providers from liability for personal injury, property damage, or wrongful death, and that I am accepting complete legal responsibility and pay for any loss for lawsuits against Pacific Riding School providers arising from my participation in all motorcycle activities.
I have had the opportunity to ask any questions about this checklist.
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