ROSARITO BEACH HARLEY CHARITY RUN

SATURDAY AUGUST 04, 2012

MOTORCYCLE RIDER RELEASE FORM

The undersigned (on our behalf and on the behalf of our heirs, personal representatives, successors and assigns), for and in consideration of the opportunity to participate in the ROSARITO BEACH HARLEY CHARITY RUN, hereby releases ROLLINGDEEP4CHARITIES, and ALL OTHER SPONSORS and other participants on this motorcycle ride from any and all claims and demands, rights and causes of action of any whatsoever which I now have or later may have resulting from, arising out of or in connection with my participation in this ride. This release extends to any and all claims I have, or may have against the released parties whether such claims result from negligence (except willful neglect) on the part of any and all released parties with respect to this event or with respect to the condition, qualifications, instruction or procedures under which this event is conducted or from any other cause. I understand that this means that I agree not to sue any or all of the released parties for any injuries resulting to myself or my property during or in connection with this event. I AM EXPERIENCED IN AND FAMILIAR WITH THE OPERATION OF MOTORCYCLES AND FULLY UNDERSTAND THE RISKS AND DANGERS INHERENT IN MOTORCYCLING. I AM VOLUNTARILY PARTICIPATING IN THE EVENT AND I EXPRESSLY AGREE TO ASSUME THE ENTIRE RISK OF ANY ACCIDENT OR PERSONAL INJURY, INCLUDING DEATH WHICH I MIGHT SUFFER AS A RESULT OF MY PARTICIPATION IN THE EVENT, WHETHER SUCH RISK RESULTS FROM NEGLIGENCE (EXCEPT WILLFUL NEGLIGENCE) ON THE PART OF ANY OR ALL OF THE RELEASED PARTIES. For the purpose of implementing this release, I expressly acknowledge that this release is intended to include all claims which the parties do not know or suspect exist in their favor at the rimed of the executions hereof, including specifically, without limitation, those described in Section 1542 of the California Civil Code, which section reads as follows: "A general release does not extend to claims which the creditor does not know or suspect exists in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor." 

******THIS IS A RELEASE OF LIABILITY. READ BEFORE SIGNING******

By signing this release, I certify that I have read this release and fully understand it and that I am not relying on any statements or representations of anyone released thereby, and do claim that I have M/C INSURANCE and a VALID CALIFORNIA DRIVER'S LICENSE with MOTORCYCLE ENDORSEMENT. 

$25/pre-sale( per person) - $30 day of event (per person)

Name: ____________________________________________

Address: __________________________________________

City: _________________________________ Zip: _______

Signature: _________________________

Phone: ____________________Email: ________________

Amount Enclosed: $______________________      

Please send checks payable to: MARTIN RESENDEZ with your release form

Release Forms must be mailed by 7/26/12  to: 20239 Alta Hacienda Dr. Walnut, CA 91789 

Info line: (909) 612-7128