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IMRG 2071 Voluntary Waiver - YOUTH or MINOR
YOUTH/ MINOR PARTICIPANT - VOLUNTARY WAIVER, CONSENT, RELEASE, AND HOLD HARMLESS AGREEMENT. 
By filling out this waiver you are certifying that you are NOT the age, of consent, 18 years or older and are GIVING CONSENT TO A MINOR TO PARTICIPATE in an IMRG Event.
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Email *
COME RIDE WITH US!!!
ON THIS EVENT I AM PARTICIPATING AS:

This form NEEDS to be fill-out out by anyone participating in this event.
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MINOR PARTICIPANTS NAME: *
MINOR PARTICIPANTS DRIVER LICENSE NUMBER & WHAT STATE WAS IT ISSUED:
If not a driver type N/A
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MINOR PARTICIPANTS ADDRESS: *
MINOR PARTICIPANTS CITY: *
MINOR PARTICIPANTS STATE: *
MINOR PARTICIPANTS ZIP CODE: *
MINOR PARTICIPANTS PHONE NUMBER: *
MINOR PARTICIPANTS EMERGENCY CONTACT & PHONE NUMBER:
This should be someone that is not on this ride with you.
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MINOR PARTICIPANTS EMERGENCY CONTACT RELATIONSHIP TO THE MINOR:
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MINOR, DATE OF BIRTH: *
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TODAY'S DATE: *
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Name of Event: *
Name of Event:(If not Listed above on #9) *
Location of Event: *
 START DATE OF THE PLANNED EVENT: *
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END DATE OF THE PLANNED EVENT: *
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PLEASE READ THIS AGREEMENT CAREFULLY. DO NOT SIGN THIS AGREEMENT UNLESS YOU AGREE TO THESE TERMS. RIDING IS VOLUNTARY, YOU ARE NOT REQUIRED TO PARTICIPATE: *
In consideration for my minor child (“Minor”) being allowed to participate in the event described above (“Event”) sponsored and/or conducted by Indian Motorcycle Company® , the Indian Motorcycle Riders Group® (“IMRG”™), authorized Indian Motorcycle® dealers and/or local Indian Mo-torcycle Riders Group® chartered Chapters and each of their respective affiliates, officers, directors, employees, agents, successors and assigns (the “Event Sponsors”), I agree individually and on behalf of the Minor, to assume all risks, wave all claims, release all liability, and defend and hold Indi-an, it’s dealers, and other Event Sponsors harmless to the fullest extent allowed by law. The Minor is voluntarily participating in the Event. *
THE GUARDIAN/ PARENT AND MINOR ACKNOWLEDGE AND AGREE THAT:

A: If MINOR Participant is a Driver: The MINOR has a valid driver’s license and motorcycle endorsement, and can legally operate a motorcycle as part of the Event.

B: If the  MINOR Participant is a Passenger: I am aware of the nature of the Event and choose to be a passenger in this Event. I will not operate a vehicle as part of the Event.
C: I AM AWARE of the nature of the Event and the Minor’s experience and capabilities, and believe the Minor to be qualified to participate. I will not allow the Minor to operate a vehicle as part of this Event. I have communicated the information on this WAIVER to the Minor.

D: I have reviewed, am familiar with, and will comply at all times with the SAFETY INSTRUCTIONS provided by the Event Sponsors, ALL INSTRUCTIONS AND WARNINGS contained in the Owner’s Manual, and the WARNINGS ON ALL VEHICLES, including the use of a helmet and other personal protective equipment.

E: I have communicated this information to the Minor. If  any questions arise, I will ask before riding.

F: I FULLY UNDERSTAND AND WILL INSTRUCT THE MINOR that the activities of the Event may be dangerous and participation in the Event is voluntary and may involve risks and dangers of serious injury and/or death caused by my own negligent acts, the Minor’s negligent acts, the negligent acts of other participants, and the potential negligence of Event Sponsors, including the failure to adequately screen, train, warn, or otherwise protect me from all these risks.
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I AGREE TO WAIVE, INDIVIDUALLY AND ON BEHALF OF THE MINOR TO THE FULLEST EXTENT ALLOWED BY LAW ANY AND ALL CLAIMS OF ANY KIND that I have or may in the future relating to the Minor’s participation in the Event, whether directly or by subrogation or otherwise, against the Event Sponsors, and TO RELEASE THE EVENT SPONSORS FROM ANY AND ALL LIABILITY to me, the Minor, my and the Minor’s personal representatives, assigns, heirs and the next of kin for any loss, damage, expense or injury (including death) resulting from the Minor’s participation in the Event. I understand that this waiver and release do not extend to intentionally wrongful acts on the part of the Released Parties: *
I EXPRESSLY WAIVE, INDIVIDUALLY AND ON BEHALF OF THE MINOR ANY BENEFITS I MAY HAVE UNDER SECTION 1542 OF THE CALIFORIA CODE, or any other law, that provides that a general release does not extend to claims which I or the Minor, do not know of or suspect exist, which if known by me may have materially affected my design to sign this document. *
I AGREE TO DEFEND, HOLD HARMLESS, AND INDEMNIFY THE EVENT SPONSORS from and against any and all liability for any claim or loss, including personal injury, death, property loss, attorney fees, and litigation costs resulting from the Minor’s participation in the Event. *
I HEREBY GRANT to the Event Sponsors, and those acting with their authority, the unrestricted, perpetual, worldwide right and LICENSE TO USE THE MINOR’S NAME, PHOTOGRAPH, LIKENESS, VOICE AND BIOGRAPHICAL INFORMATION, and any photograph, video or audio tape or recording that may be taken of the Minor or that includes such materials without further compensation or notice to or permission from me or the Minor or any third party. *
THIS AGREEMENT SHALL BE GOVERNED BY UTAH LAW, without regard to its choice of law rules. Any dispute or claim relating to this Agreement or the Event shall be finally resolved by BINDING ARBITRATION under the United States Arbitration Act in the state of Utah: *
I HAVE READ THIS AGREEMENT CAREFULLY PRIOR TO SIGNING IT: *
THE  GUARDIAN/ PARENT AND MINOR UNDERSTAND THAT THEY ARE WAIVING CERTAIN LEGAL RIGHTS BY SIGNING THIS AGREEMENT: *
MINOR, I UNDERSTAND THAT I AM AGREEING TO ALL OF THE ABOVE LISTED CONDITIONS BY TYPING AND LISTING MY NAME IN THIS ANSWER BOX:
Please type your name:  *
GUARDIAN/ PARENT DRIVER LICENSE NUMBER & WHAT STATE WAS IT ISSUED:
This is to confirm that a guardian/ parent has seen and agrees to the conditions listed in the voluntary waiver on behalf of the MINOR PARTICIPANT.
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GUARDIAN/ PARENT'S NAME GIVING CONSENT FOR THE PARTICIPATING MINOR:
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GUARDIAN/ PARENT'S  RELATIONSHIP TO THE MINOR GIVING CONSENT FOR THE PARTICIPATING MINOR:
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GUARDIAN/ PARENT ADDRESS, CITY, & ZIP CODE:
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GUARDIAN/ PARENT PHONE NUMBER:
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GUARDIAN/ PARENT EMAIL:
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GUARDIAN/ PARENT I AM AWARE of the nature of the Event and the Minor’s experience and capabilities, and believe the Minor to be qualified to participate. I will not allow the Minor to operate a vehicle as part of this Event without the proper training, licensing, and endorsements required to operate a motorcycle. I have communicated the information on this WAIVER to the Minor.
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GUARDIAN/ PARENT, I UNDERSTAND THAT I AM AGREEING TO ALL OF THE ABOVE LISTED CONDITIONS BY TYPING AND LISTING MY NAME IN THIS ANSWER BOX ON BEHALF OF THE MINOR LISTED:
Please type your name:  *
A copy of your responses will be emailed to the address you provided.
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