Mud Racing

Mud Racing

Personal Photo Release 2010

PERSONAL MEDIA RELEASE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 1, 2010 - November 30, 2010

 

 

 

 

 

 

 

 

 

 

 

 

 

Lee County Mud Motorsports Complex LLC.

 

 

 

 

4080 Lower River Road

 

 

 

 

 

 

Sanford, NC 27330

 

 

 

 

 

 

919-776-1781

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby consent to and authorize the use by the above named party ("Track") or

anyone authorized by Track of any and all electronic recordings and/or photographic

images of me or my truck, and any reproduction of them, with or without cropping,

with or without juxtaposition or backgrounds of statements or images or both, and

with or without other modifications of alterations, for any purpose whatsoever,

including (but not by way of limitation) the sale, publication, display, broadcast and

exhibition thereof in promotion, entertainment, advertising or trade, with no financial

Compensation.  I also consent to the use of my name in the connection with the

aforesaid videotape, but such use shall be limited to identifying me as the subject

Thereof.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I agree the videotape, photographs, and images in any other form thereof

 

constitutes the sole property of the Track with full right of disposition in any manner

Whatsoever.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As the Track proposes to act on this consent forthwith,  I hereby declare it to be

irrevocable;  and I hereby release and discharge the Track and all third parties in

reliance on Tracks authorization from any and all claims whatsoever in connection

with the use of such videotapes, photographs, and images in any other form and

my name and the reproduction thereof as aforesaid.

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________Date___________, 2010

 

 

 

Printed Name of Subject

 

_________________________________________________________

 

 

 

 

 

 

 

Signature of Subject

 

 

 

If Subject is less than 18 years of age, the following should be completed.

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________

 

 

 

 

 

 

 

Signature of Parent/Guardian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

  

 PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Darryl & Deborah Jones, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "D&DJ"), I hereby agree to release, indemnify, and discharge D&DJ, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1.        I acknowledge that driving a 4 wheeler in a mudpit entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties.  I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: acts of other participants; contact with plants or animals; my own physical condition, or my own acts or omissions; condition of roads, trails, waterways or terrain and accidents connected with their use; consumption of food or drink; riding on uneven terrain; loss of control; collision with other vehicles, participants, trees, rocks and other manmade or natural obstacles; falls from the vehicle; exposure to the elements, extreme temperatures, inclement weather; mechanical and/or equipment problems; and unavailability of immediate medical attention in case of injury.

 Furthermore, D&DJ employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions.  They may give incomplete warnings or instructions, and the equipment being used might malfunction.

         2.     I expressly agree and promise to accept and assume all of the risks existing in this activity.  My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

 3.     I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless D&DJ from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of D&DJ's equipment or facilities, including any such claims which allege negligent acts or omissions of D&DJ.

 4.     Should D&DJ or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

 5.     I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

 6.     In the event that I file a lawsuit against D&DJ, I agree to do so solely in the state of North Carolina, and I further agree that the substantive law of North Carolina shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

                By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against D&DJ on the basis of any claim from which I have released them herein.

                I have had sufficient opportunity to read this entire document.  I have read and understood it, and I agree to be bound by its terms.

Signature of Participant ______________________________   Print Name _____________________________________  

Address________________________________City__________State_____Zip________

Phone                                                               Date ____________,2                                              

 PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

                                                                      (Must be completed for participants under the age of 18)In consideration of ______________________________________________________________________(print minor's name) (print minor's name) ("Minor") being permitted by D&DJ to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless D&DJ from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

 

   


 

 

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