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North Sound Safety P.O. Box 2566 Mount Vernon, Wa 98273 Phone: 1.360.424.7136 Fax: 1.360.424.7084 E-mail: info@northsoundsafety.com |
WAIVER AND RELEASE OF LIABILITY
In consideration of NORTH SOUND SAFETY; furnishing services and/or equipment to enable me to participate in the Motorcycle Rider Education Class, I agree as follows:
I fully understand and acknowledge that: (a) risks and dangers exist in my use of motorcycles and motorcycle equipment and my particpation in the Motorcycle Rider education Class activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability: (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of NORTH SOUND SAFETY; the negligence of the participants, the negligence of others, accidents, 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 activites 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 of other conduct of the owners, agent, officers, or employees of North sound safety; or by any other person.| Initial_______ |
| Initial_______ |
| _____________________________________ PRINT NAME |
| _____________________________________ SIGNATURE |
 _______________DATE |
_______________DATE OF BIRTH |
| _____________________________________ SIGNATURE OF PARENT OR GUARDIAN (If less than 18 years old) |
_______________DATE |