ATV Waiver Form Template

ATV Waiver Form
Participant Name
First NameLast Name
Date of birth
MonthDayYear
Date
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Name
First NameLast Name
Relationship to Participant
Emergency Contact Phone Number
Please enter a valid phone number.
Do you have any medical conditions or allergies we should be aware of?
YesNo
If yes, please provide details
Are you currently taking any medication?
YesNo
If yes, please provide details
Acknowledgment of Risks: I understand that participating in ATV riding activities involves certain risks, including but not limited to accidents, injury, and even death. I acknowledge that I have been informed of these risks and agree to assume full responsibility for any injuries or damages that may occur during ATV riding.
Waiver of Liability: I hereby waive, release, and discharge [Name of ATV Company/Organization] and its employees, agents, and affiliates from any and all claims, liabilities, and damages arising from my participation in ATV riding activities, including but not limited to personal injury, property damage, or wrongful death.
Assumption of Risk: I understand and accept the risks associated with ATV riding and agree to participate voluntarily. I certify that I am physically and mentally fit to engage in ATV riding activities.
Indemnification: I agree to indemnify and hold harmless [Name of ATV Company/Organization] and its employees, agents, and affiliates from any and all claims, liabilities, and expenses, including attorney fees, arising from my participation in ATV riding activities.
Photography and Videography Release: I grant [Name of ATV Company/Organization] permission to use any photographs or videos taken of me during ATV riding activities for promotional purposes.
Signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty: