|
|
PENNSYLVANIA
RACING
OUTREACH
RELEASE
AND INDEMNITY AGREEMENT
I do hereby represent and acknowledge that I am
entering into a missionary venture with others in a raceway setting for the
glory of God and to demonstrate my faith in Christ. As a volunteer I am paying my own expenses, including
insurance[1].
I understand that the work may at times be hazardous and somewhat
arduous. I willing serve under the
direction of trained volunteers and qualified professionals.
Vehicles transporting volunteers will be operated by volunteers.
I recognize and acknowledge the potential for
accidents at the race site involving motor vehicles in or about the living,
sleeping, and eating areas or during activities of the ministry team.
I am fully aware of possible injuries to members of the ministry team
including myself.
Therefore, I desire to protect, release, acquit,
indemnify, and hold harmless from any and all claims, injuries, damages, losses,
expenses or attorney fees incurred by me, my heirs, administrators, executors,
or assigns.
For and on behalf of myself, my heirs,
administrators, executors, assigns and all other persons, firms or corporations,
I do hereby release and discharge from liability all other persons on the
ministry team with me, those who notified, selected, or assigned me to the said
team, the officers of Pennsylvania Racing Outreach, National Fellowship of
Raceway Ministries, or Motor Racing Outreach, their employees and
representatives, successors, or assigns, from any claims, demands, damages,
actions, causes of actions which I, the undersigned, have or may hereafter, and
on account of, or any way growing out of injuries or damages both to persons or
property resulting or that may hereafter result from the voluntary venture.
This waver, release and indemnity agreement is fully
understood by me and I enter the same willingly for the purposes herein above
stated.
The event specifically included in this Release and
Indemnity Agreement is known as:
__________________________________, beginning ___________
thru___________.
Witnesseth,
my hand on this the ______ day of _______, 20_______.
PRINT
NAME: __________________________________________
SIGNATURE:
___________________________________________
WITNESS: ______________________________________________ DATE:__________
[1]
Each Volunteer is expected to have and carry their own insurance in case of
accident, injury or illness. Personal Liability is the responsibility
of the volunteer. Pennsylvania Racing
outreach does not provide any insurance coverage.