|Saturday, June 3rd, 2017|
This is a waiver that we require participants of the event to sign upon arrival.
The Rolphie Run Fundraiser
I, (Print Name) __________________ recognize that there are dangers and risks to which I may be exposed by participating in the Rolph Karker Benefit Run, also known as the "Rolphie Run", to be held on May 30th, 2015, which involves a motor vehicle tour, otherwise known as a "Poker Run", and also includes, but is not limited to, food, beverages (at my cost) and entertainment by Locomotion's Sports Bar Inc., at Schoharie County Fair Grounds, Cobleskill, N.Y. (an agent for the Rolphie Run). Any transportation to, from, during and following the event is at my own risk and by my own means.
I understand that I am not required to participate in this activity, but I want to do so, despite its possible dangers and risks.
I agree to assume and take on myself all risks and responsibilities associated in any way with this activity.
In consideration of and return for the services, facilities, and other assistance provided to me by the organizers of this activity, I release the Rolphie Run, its employees and agents from any and all liability, claims and actions that may arise from injury or harm to me, from my death or from damage to my property in connection with this activity. I understand that this release covers liability, claims and actions caused entirely or in part by any acts or failures to act by The Rolphie Run organizers, its employees or agents including but not limited to negligence, mistake, or failure to supervise.
I recognize this entire release means I am giving up, among other things, rights to sue the organizers, its employees and agents for injuries, damages, or losses I may incur. I also understand that this release binds my heirs, executors, administrators and assigns, as well as me.
I have read this entire Release; I fully understand it and I agree to be legally bound by it.
THIS IS A RELEASE OF YOUR RIGHTS. READ CAREFULLY BEFORE SIGNING
Parent or Guardian's Signature (if participant is under 18)