3D's Raceway Liability Waiver
Please fill out the following form in order to use 3D's Raceway :
Email address *
Respondent Information
First Name *
Your answer
Last Name *
Your answer
Phone Number *
(515) 555-1234
Your answer
Address *
Your home address. 100 South Main St. Smalltown, IA 55555
Your answer
Release of Liability
I, __(respondent)__ do hereby release and hold harmless Jim & Suzanne Howk and 3D’s Raceway for any injuries or damage. I understand that there are risks inherent to driving/running RC cars of any size, and I accept full responsibility for my own health and safety as well as the health and safety of others in the area. I agree that I will operate my vehicle in such a way that myself and others are kept safe.

I also understand that there are inherent damage risks to operating my RC vehicle, and I hold Jim & Suzanne Howk and 3D’s Raceway harmless for any equipment failure or damage/breakage of my vehicle. I take full responsibility of my vehicle and equipment while on the property.

I agree that the owners [J. & S. Howk] may deny service to anyone for any reason and I will comply with any such request to leave the property immediately.
Do you agree? *
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