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MOTORCYCLE
SAFETY COURSE WAIVER AND INDEMNIFICATION FORM
This
information is made available before registration to assist
you in determining if you want to attend this Motorcycle Safety
Course. There are 2 sections to this form and both must be
read prior to, or during, the administrative portion of the
class. Refusal to sign these sections will result in dismissal
from the course without reimbursement. READ EACH SECTION
CAREFULLY.
Section
I: THIS SECTION IS A LEGAL RELEASE, ASSUMPTION OF RISK, WAIVER
AND COVENANT NOT TO SUE AGREEMENT
In
consideration of the Motorcycle Safety Foundation, Louisiana
State University - Shreveport or 2BW Safety, and RidingSafety.com,
including their members, employees, officers, and/or agents
(the "Safety Course Providers") furnishing services
and equipment to enable me to participate in this Motorcycle
Safety Course, I agree as follows:
I
understand that participation in this course requires physical
stamina, motor coordination, mental alertness, cognitive capability
and emotional stability. I attest that I have no physical,
mental, emotional, or cognitive limitations that could affect
my riding ability. I also attest I will not use any form of
alcohol, prescription or non-prescription drugs that could
impair my performance in this course.
I
fully understand and acknowledge that: (a) there are DANGERS
AND RISK OF INJURY, DAMAGE, OR DEATH
that exist in my use of motorcycles and my participation in
this Motorcycle Safety Course; (b) my participation in such
activities and/or use of such equipment may result in injury
or illness including, without limitation, bodily injury, disease,
strains, fractures, partial and/or total paralysis, death
or other ailments that could cause serious disability or death;
(c) these risks and dangers may be caused by the negligence
of the Safety Course Providers; the negligence of others,
including the other Safety Course participants; and may arise
from foreseeable and unforeseeable causes; and (d) by my participation
in these activities and/or use of such equipment, I,
on behalf of myself, my personal representatives and my heirs,
hereby expressly assume all risks and dangers and responsibility,
and agree to release the Safety Course Providers for any
injuries, losses and/or damages, including those caused in
whole or in part by the negligence of the Safety Course Providers,
or any other person. If I have brought a motorcycle to use
in the Safety Course, I also agree that this release applies
to any damage that occurs to it during the Safety Course.
I
agree and understand that, on behalf of myself, my personal
representatives and my heirs, I am relinquishing any and all
rights I now have or may have in the future to sue the Safety
Course Providers for any and all injury, damage, or death
I may suffer arising from motorcycle riding or its equipment,
including claims based on the Safety Course Providers' negligence.
I
HAVE READ THIS RELEASE AGREEMENT AND BY SIGNING IT I AGREE
IT IS MY INTENTION TO ASSUME ALL RISKS AND RELEASE THE MOTORCYCLE
SAFETY FOUNDATION, LOUISIANA STATE UNIVERSITY - SHREVEPORT
OR 2BW SAFETY, AND RIDINGSAFETY.COM'S RIDERCOACHES FROM ANY
AND ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR
WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
-----------------------------------------------------------------------------------------
Section
II: THIS SECTION IS AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
In
consideration of the Motorcycle Safety Foundation, Louisiana
State University - Shreveport, 2BW Safety, and RidingSafety.com,
including their members, employees, officers, and/or agents
(the "Safety Course Providers") furnishing services,
equipment, and/or curriculum to enable me to participate in
this Motorcycle Safety Course, I agree as follows:
I,
on behalf of myself, my personal representatives and my heirs,
agree to hold harmless, defend, and indemnify the Safety Course
Providers
from any and all claims, suits, or causes of action by other
for bodily injury, property damage, or other damages which
may arise out of my use of motorcycles and motorcycle equipment
or my participation in the Motorcycle Safety Course activities,
including claims arising from the Safety Course Providers'
or any other party's negligence.
I
HAVE READ THIS INDEMNIFICATION AND HOLD HARMLESS RELEASE AGREEMENT
AND BY SIGNING IT I AGREE IT IS MY INTENTION TO ACCEPT LEGAL
RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS
AGAINST THE MOTORCYCLE SAFETY FOUNDATION, LOUISIANA STATE
UNIVERSITY - SHREVEPORT OR 2BW SAFETY, AND RIDINGSAFETY.COM'S
RIDERCOACHES ARISING FROM MY PARTICIPATION IN THE MOTORCYCLE
SAFETY COURSE.
Both
sections of this form must be signed by attendees when form
is provided by RiderCoach for signature on first night of
class.
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