Kelsi Elizabeth Long Memorial Foundation

Page 9

               

Kelsi Long Memorial Ride Registration

The undersigned (on my behalf and on behalf of my heirs, personal representatives, successors and assigns), for and in consideration of the opportunity to participate in a "Ride," "Poker Run," "Rally," "Field Meet" or "Activity" (hereinafter, EVENT(S), sponsored and/ or conducted by the Kelsi Elizabeth Long Foundation and its respective officers, directors, employees and agents (hereinafter, the "RELEASED PARTIES") releases and holds harmless the "RELEASED PARTIES" from any and all claims and demands, rights and causes of action of any kind whatsoever which I now have or later may have against the "RELEASED PARTIES"  in any way resulting from, arising out of, or in connection with the performance of their foundation duties and my participation in any said EVENT(S).

This Release extends to any and all claims I have or later may have against the "RELEASED PARTIES" resulting from or arising out
of their performance of their foundation duties whether or not such claims result from negligence (except willful neglect) on the part of any or all of the "RELEASED PARTIES" with respect to the EVENT(S) or with respect to the conditions, qualifications, instructions, rules or procedures under which the EVENT(S) are conducted or from any other cause. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE ANY OR ALL OF THE "RELEASED PARTIES" FOR ANY INJURY RESULTING TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH THE PERFORMANCE OF THEIR FOUNDATION DUTIES IN SPONSORING, PLANNING OR CONDUCTING THE EVENT(S).

I am experienced in and familiar with the operation of motorcycles and fully understand the risks and dangers inherent in motorcycling. I am voluntarily participating in the EVENT(S) and I expressly agree to assume the entire risk of any accidents or personal injury, including death, which I might sustain to my person and property as a result of my participation in the events, and any negligence (except willful neglect) on the part of any or all of the "RELEASED PARTIES" in performing their foundation duties.

WAIVER OF RIGHTS UNDER STATE STATUTES 

I further agree to waive all benefits flowing from any state statue which would negate or limit the scope of this release and Indemnification Agreement, including but not limited to Section 1542 of the California Civil Code which provides:  "A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing this release, which if known to him must have materially affected his settlement with the debtor."  By signing this Release, I certify that I have read this Release and fully understand it and that I am not relying on any statements or representations made by the "RELEASED PARTIES." 

 

THIS IS A RELEASE - READ BEFORE SIGNING

 

               

                    

               
                           
Rider Information
Please complete information below and submit in order to register for Kelsi
 Long Memorial
Ride.                                                        

Full Name:

Street Address:

City, State:

Zip Code:

Date:

Email Address:

 

 By clicking this box, I agree to all terms and conditions above and confirm this
        as my electronic signature.

      

Passenger Information
All passengers MUST be registered.  For passengers under 18, please visit registration
table
on the day of the ride.

Full Name:

Street Address:

City, State:

Zip Code:

Date:

Email Address:

 

 By clicking this box, I agree to all terms and conditions above and confirm 
         this as my electronic signature.
 

 

 

 

Please click the Pay Pal Link below to register for the Memorial Ride or to make a donation.