AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT. In consideration of the Gulf Coast Council, BSA, the activity supervisor/instructor,, the owner of the training ATV, and the owner of land upon which training occurs, including all of the aforementioned parties' members, employees, officers, instructors and/or agents (the “Providers”), furnishing services, vehicles, equipment, and/or curriculum to enable me to participate in the ATV activities, I agree as follow: I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Providers from any and all claims, suits, or causes of action for bodily injury, property damage, or other damages which may arise out of my use of ATVs and ATV equipment or my participation in the ATV activities, including claims arising from the Providers' or any other party's negligence. I HAVE READ THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED PROVIDERS ARISING FROM MY PARTICIPATION IN THE ATV ACTIVITIES. I have had the opportunity to ask any questions about the above and I understand its terms and meaning. THE SIGNATURE BELOW INDICATEs THAT THE PERSON LISTED HAS READ, UNDERSTANDS AND AGREES TO THE ABOVE ALL-TERRAIN VEHICLE ATV WAIVER AND INDEMNIFICATION AGREEMENT. I have read and agree with this ATV Activities WAIVER & INDEMNIFICATION AGREEMENT. I certify this information entered below is true. Parent/Guardian Signature: X Scout's Info: Last Name (print) First: MI: Date of Birth: / / Address: City: State: Zip: Phone: (
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Samples: scoutingevent.com
AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT. In consideration of the Gulf Coast Council, BSA, the activity supervisor/instructor,, the owner of the training ATV, and the owner of land upon which training occurs, including all of the aforementioned parties' members, employees, officers, instructors and/or agents (the “Providers”), furnishing services, vehicles, equipment, and/or curriculum to enable me to participate in the ATV activities, I agree as follow: I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Providers Released Parties from any and all claims, suits, or causes of action by any third parties, including Released Parties or other Course participants, for bodily injury, property damage, or other damages which that may arise out of my use of ATVs and ATV equipment or my participation in the ATV activitiesCourse or Motorcycle Activities, including claims arising from the Providers' negligence of Released Parties, other Course participants, or any other party's negligence. I HAVE READ THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO THE ABOVE TERMS, AND TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED PROVIDERS RELEASED PARTIES ARISING FROM MY PARTICIPATION IN THE ATV ACTIVITIESCOURSE. I Participant Name (Printed) – First, Middle, Last License or ID# and State Participant Signature Date – MM/DD/YYYY Parent/Legal Guardian signature, if Participant under 18 yrs of age Relationship License or ID# and State Model Release Effective as of the date shown below, approval for past use and permission for present and future use is being granted to Motorcycle Rider Training Center, 000 Xxxxxxx Xx, Xxxxxxxx, Xxxxxxxx 00000 to use photographs or other images taken on __ _ _ _ ___(Today's Date) of _ _ _ _ _ (Photographed Party Printed Name), as more fully explained in this Consent and Release. The Photographed Party is an adult and is fully authorized to sign this Consent and Release. For value received, receipt of which is hereby acknowledged, the Photographed Party hereby grants consent to Motorcycle Rider Training Center, its agents, employees, licensees, and successors in interest (collectively, the Released Party) and authorizes the use of any and all photographs taken of the Photographed Party, and any reproduction of them in any form in any media whatsoever and in any derivative work based thereon throughout the world, and to use them to publicize, promote and advertise, including but not limited to use for point of sale advertising. The Photographed Party also consents to the use of their own name or any fictitious name which may be chosen in connection with the aforesaid photographs. The Photographed Party hereby releases any and all claims whatsoever in connection with the use of their photograph and name and the reproduction thereof as aforesaid. The Photographed Party hereby waives any right that they may have had to inspect and/or approve the opportunity Book or the advertising copy that may be used in connection therewith or the use to ask any questions about the above and I understand its terms and meaningwhich it may be applied. THE SIGNATURE BELOW INDICATEs PHOTOGRAPHED PARTY WARRANTS THAT THEY ARE THE UNDERSIGNED AND THAT THEY HAVE READ THIS CONSENT AND RELEASE PRIOR TO THE SIGNING OF THIS DOCUMENT, THAT THE PERSON LISTED HAS READUNDERSIGNED UNDERSTANDS IT, UNDERSTANDS AND AGREES TO THAT THE ABOVE ALL-TERRAIN VEHICLE ATV WAIVER UNDERSIGNED FREELY ENTERS INTO THIS CONSENT AND INDEMNIFICATION AGREEMENTRELEASE. I have read and agree Signed by _ (Photographed Party Printed Name) with this ATV Activities WAIVER & INDEMNIFICATION AGREEMENTthe intent of being legally bound on (Today's Date). I certify this information entered below is true. Parent/Guardian Signature: X Scout's Info: Last Name (print) First: MI: Date of Birth: / / Address: City: State: Zip: Phone: (___ _ _ _ _ _ _ _ _ _ __ ___ _ _ _ _ _ _ _
Appears in 1 contract
AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT. In consideration of the Gulf Coast Council, BSA, the activity supervisor/instructor,, the owner of the training ATV, and the owner of land upon which training occurs, including all of the aforementioned parties' members, employees, officers, instructors and/or agents (the “Providers”), furnishing services, vehicles, equipment, and/or curriculum to enable me to participate in the ATV activities, I agree as follow: I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Providers Released Parties from any and all claims, suits, or causes of action by any third parties, including Released Parties or other Course participants, for bodily injury, property damage, or other damages which that may arise out of my use of ATVs motorcycles and ATV motorcycle equipment or my participation in the ATV activitiesCourse, including claims arising from the Providers' negligence of Released Parties, other Course participants, or any other party's negligence. I HAVE READ THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO THE ABOVE TERMS, AND TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED PROVIDERS RELEASED PARTIES ARISING FROM MY PARTICIPATION IN THE ATV ACTIVITIESCOURSE. I have had the opportunity to ask any questions about the above Participant Name (Printed) – First, Middle, Last License or ID# and I understand its terms and meaning. THE SIGNATURE BELOW INDICATEs THAT THE PERSON LISTED HAS READ, UNDERSTANDS AND AGREES TO THE ABOVE ALL-TERRAIN VEHICLE ATV WAIVER AND INDEMNIFICATION AGREEMENT. I have read and agree with this ATV Activities WAIVER & INDEMNIFICATION AGREEMENT. I certify this information entered below is true. State Participant Signature Date – MM/DD/YYYY Parent/Legal Guardian Signaturesignature, if Participant under 18 yrs of age Relationship License or ID# and State **** ALL INFORMATION BELOW IS REQUIRED PRINT CLEARLY USE CAPITAL LETTERS **** Last Name: X Scout's Info: Last First Name (printAs it appears on your license) First: MI: (As it appears on your license) Date of Birthbirth: / / AddressAge: Address 1: Address 2: City: State: Zip: PhoneDrivers License# (License or ID# ) State Gender E-Mail: Phone #: Emergency Contact Information (class use only) (Signature of parent or legal guardian if less than 18 years old) Name: Relationship: Phone 1: Phone 2: Confirm student information complete & legible : Instructor Initial FOR INSTRUCTOR & OFFICE USE ONLY: Class # Instructor 1 MSF#: Instructor 2 MSF#: Knowledge Score: Skill Score: Certificate #: Motorcycle ID: T-Clocs: Yes No Explaination if no certificate
Appears in 1 contract
Samples: Indemnification Agreement
AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT. In consideration of the Gulf Coast Council, BSA, the activity supervisor/instructor,, the owner of the training ATV, and the owner of land upon which training occurs, including all of the aforementioned parties' members, employees, officers, instructors and/or agents (the “Providers”), furnishing services, vehicles, equipment, and/or curriculum to enable me to participate in the ATV activities, I agree as follow: I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Providers Released Parties from any and all claims, suits, or causes of action by any third parties, including Released Parties or other Course participants, for bodily injury, property damage, or other damages which that may arise out of my use of ATVs and ATV equipment or my participation in the ATV activitiesCourse or Motorcycle Activities, including claims arising from the Providers' negligence of Released Parties, other Course participants, or any other party's negligence. I HAVE READ THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND BY SIGNING BELOW I AGREE IT IS MY INTENTION TO THE ABOVE TERMS, AND TO ACCEPT LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED PROVIDERS RELEASED PARTIES ARISING FROM MY PARTICIPATION IN THE ATV ACTIVITIESCOURSE. _ _ _ Participant Name (Printed) – First, Middle, Last License or ID# and State Participant Signature _ _ _ _ _ Date – MM/DD/YYYY Parent/Legal Guardian signature, if Participant under 18 yrs of age Relationship License or ID# and State Vermont Rider Education Program Student Information Form (Please Print) Course Code Full Name Date of Birth Address City State Zip Phone Check if the above is a change to: ⬜ Mailing Address ⬜ Physical Address Emergency Contact Phone Vermont Driver’s License # Exp. Date Do you have a motorcycle permit? ⬜ Yes ⬜ No Motorcycle endorsement? ⬜ Yes ⬜ No Riding Experience ⬜ None Years Months Please alert us to any special needs you may have. Briefly describe below any medication you are taking or any hearing, visual, physical, or reading impairment you have that might affect your ability to learn in the classroom or to control a motorcycle. This information will NOT prevent you from taking the course, but will help your instructors provide you with the best learning experience. Do you have any special needs? ⬜ No ⬜ Yes If yes please list below: I understand and agree to VREP policy that if, at any time during this course, it is felt I am not able to achieve the objectives of the range exercises or I need more time to develop specific skills than the course allows, I will be counseled out of the course. I have had understand the opportunity RiderCoach/Instructor is responsible for my safety as well as the rest of the course participants and has full authority to ask any questions about make this decision, which is final. (Participant Name – Please Print) I also hereby consent to the above and I understand its terms and meaningissuance of a motorcycle permit/endorsement. THE SIGNATURE BELOW INDICATEs THAT THE PERSON LISTED HAS READ, UNDERSTANDS AND AGREES TO THE ABOVE ALL-TERRAIN VEHICLE ATV WAIVER AND INDEMNIFICATION AGREEMENT(Participant Signature) (Signature of parent or legal guardian if less than 18 years of age) (Relationship) Do not write in the area below. I have read and agree with this ATV Activities WAIVER & INDEMNIFICATION AGREEMENT. I certify this information entered below is true. ParentFor RiderCoach/Guardian Signature: X Scout's Info: Last Name Instructor use only Failed Classroom ⬜ Failed Range ⬜ Failed Both ⬜ Crash ⬜ Quit Course ⬜ Quit Range ⬜ Drop ⬜ Pass ⬜ Completion Codes (print) First: MI: Date of Birth: / / Address: City: State: Zip: Phone: (check only one):
Appears in 1 contract
Samples: Indemnification Agreement