San Felipe Off-Road "POKER RUN" October 18th, 2008
San Felipe, Baja California, Mexico
Fill out this form completely
on your computer, Print and SIGN the waiver and release
form. Then mail it to us with your Check or Money Order
to:
Too Much Fun Promotions, P.O. Box 120089, Chula Vista, CA 91912-3189
Vehicle
type: Color
TOTAL
San Felipe Off-Road "POKER RUN" Oct. 18th, 2008, San
Felipe, Baja California, Mexico
- WAIVER
AND RELEASE OF LIABILITY- In consideration of the acceptance of my registration request
and/or participation in the above event operated and/or under
the management of Too Much Fun Promotions, the sponsors, and/or
contract entities, I hereby release all liability from said
parties and I assume all liability for any and all claims and
actions of any kind for personal injuries and/or property damage
which i may cause or sustain during the event or during my travel
to and from the event, and I agree to pay any and all costs
including attorney's fees that may be incurred by the above
entities as a result of any such claim. I attest and verity
that I am in good health and that I am adequately trained to
participate in this type of event and my physical condition
has been verified by a medical doctor. I hereby acknowledge
that I have sole responsibility for my personal possessions
and athletic equipment during the event or its related activities,
I hereby grant to any and all of the foregoing to use any photograph,
videotape, motion picture or any other record of this event
for any purposes whatsoever including broadcasts, telecasts
and the press as they pertain to the event. I hereby consent
to receive medical treatment which may be deemed advisable during
this event and understand that I am solely responsible for all
cost relation to medical transportation and/or evacuation. I
hereby agree that if the event is canceled due to storm, rain,
inclement seas or weather, wind or other "act of god"
conditions, my entry fee shall be nonrefundable. I understand
that all entry & t-shirt are nonrefundable-. I also understand
that my entry is nontransferable. I also agree that any legal
claim, can only take action in the State of Baja California,
Mexico.
I FURTHER FULLY UNDERSTAND THAT THERE IS NO RIDER INSURANCE
PROVIDED FOR THIS EVENT, RIDERS MUST CARRY THEIR OWN ACCIDENT
INSURANCE.
I have read
and fully understand and agree to this release, waiver and indemnification
form.
Name of
Rider's Insurance Company:______________________________________
Parent
or legal guardian's signature if under 18 years of age authorizes
emergency medical treatment.