Backwoods INC. Release Form
I hereby release and agree to hold harmless the sponsors, the promoters,the owners, the lessees of premises, the participants, and officers, directors, officials, representatives, agents and employees of all of them, of and from all liability, loss, claims and demands that may occur from any loss, damage of injury (including death) to my person or property, in any way resulting from, or arising in connection with this event, and whether arising while engaged in competition or in practice or preparation thereof, or while upon, entering or departing from said premises, from any cause whatsoever. I know the risk and danger to myself and property while upon said premises or while participating or assisting in this event, so voluntarily in reliance, upon my own judgment and ability, and I thereby assume all risk for loss, damage or injury (including death) to myself and my property from any cause whatsoever.
Print Name Clearly:
Age:
Address:
Rider Signature ____________________________ Parent Signature:____________________________ (Leave Blank - This will be Signed When You Arrive)
Town:
State:
Zip:
Phone:
Brand of Motorcycle:
Model:
Bike #:
Class # 1:
Class # 2: