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THE DUNES, INC. 142 Boy Scout Road Forest Hill, Louisiana 71430 (318)748-4057
READ CAREFULLY WAIVER AND RELEASE OF LIABILITY
In consideration of The Dunes, Inc. furnishing property to enable me to participate in motorized off road vehicle activities, I agree as follows: I fully understand and acknowledge that: (a) risks and dangers exist in my use of motorized off road vehicles and my participation in motorized off road vehicle activities; (b) my participation in such activities and/or use of such equipment may result in my injury, including but not limited to body injury, fractures, partial and/or total paralysis, eye injury, blindness, death, or other injuries that could result in serious disability; (c) these risks and dangers may be caused by my own negligence, by the negligence of the owners, employees, breaches of contract, the forces of nature or other causes. These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of myself, the owners, agents, officers, employees of The Dunes, Inc., or by any other person. I, on behalf of myself, my personal representatives and my heirs, herby voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify The Dunes, Inc. and its owners, agents, officers, and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of motorized off road vehicles or my participation in motorized off road vehicle activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct of myself, the owners, agents, officers or employees of The Dunes, Inc. In signing this release, I hereby acknowledge and represent that I have informed myself and made myself fully aware of the condition of the terrain and the trails at The Dunes, Inc., either by prior participation or by investigation into the trails and/or terrain.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE THE DUNES, INC. FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. |
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_____________________________ Date |
____________________________ Signature |
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_____________________________ Telephone |
____________________________ Print Name |
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_____________________________ Signature of Parent or Guardian (If less than 18 years old) |
____________________________ Address |
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_____________________________ Print Full Name of Parent or Guardian Same as Above |
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