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General Sam's Off Road Wilderness
Park, Inc.
Adult Participant Release Waiver
of Liability, Assumption of Risk and Indemnification Agreement
This release waiver of liability, assumption of risk and indemnification agreement is freely given by and for,(Please
print your full name)
____________________________________________________, who shall hereinafter be referred as "PARTICIPANT",
to General Sam's Off Road Wilderness Park, Inc. located in Huntsville, Texas , who shall hereinafter be referred
to as the "COMPANY".
1. The PARTICIPANT fully understands and acknowledges that they are now freely choosing to enter COMPANY property
and participate in activities on COMPANY property, whether as an operator or spectator or otherwise, that are inherently
dangerous and that being engaged in the operation of, and/or being in the physical proximity to, all terrain vehicles,
trucks, cars, jeeps, motorcycles, racing, or motorized or non-motorized machines of any kind bears known and accepted
risks as well as unknown and unanticipated risks which could result in injury, death, illness or disease, physical,
mental or emotional damage to themselves, their property, to spectators, or other third parties and/or their property.
2. The PARTICIPANT fully understands and acknowledges that being in an outdoor wilderness environment at any time
could result in injury, death, illness or disease, physical, mental or emotional damage to themselves, their property,
or spectators or other third parties and/or their property. PARTICIPANT understands fully and also acknowledges
that poisonous snakes, insects, spiders, animals both wild and domestic, which may be diseased and are potentially
dangerous, and many other unspecified human hazards are LIKELY to be present on the COMPANY property.
3. The PARTICIPANT understands fully and acknowledges that COMPANY makes no expressed or implied representation
as to the fitness for use of any kind, safeness, nor condition of any roads, tails, signs, buildings, poles, mud
pits, creeks, ponds, deep water, ditches, gates or any other items or improvements on the property of the COMPANY
including but not limited to trees, both standing and downed, rocks, hunting blinds and tree stands, erosion and
generally dangerous conditions of the land both on and off trails and roadways, which may create hazardous riding,
driving, viewing and walking conditions. PARTICIPANT understands fully and acknowledges these as hazards and that
dangerous conditions are present.
4. PARTICIPANT acknowledges that participation in any type of activities on the COMPANY property is purely voluntary
and now elects to enter into the COMPANY property by their own choice in spite of any and all risks and hereby
releases, holds harmless, and indemnifies COMPANY from any and all claims whatsoever forever.
5. PARTICIPANT acknowledges that their personal image or likeness or that of their property may appear in pictures
on the COMPANY web site or in promotions or advertisements made by COMPANY and hereby releases the use of such
images for such purposes.
5. PARTICIPANT EXPRESSLY ACKNOWLEDGES THAT ANY INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE
OPERATIONS OR PROCEDURES BY COMPANY AND FULLY ACCEPTS ALL RESPONSIBILTY FOR ALL SUCH RISK.
6. PARTICIPANT acknowledges that the COMPANY reserves the right to refuse admittance to anyone for any reason at
its sole discretion and the COMPANY also reserves the right to ask anyone to leave, without refund, at its sole
discretion.
7. PARTICIPANT acknowledges that he willing destruction or defacement of any COMPANY holdings, belongings, equipment,
buildings, signage, fencing, or any other items on or off COMPANY property is grounds for immediate departure of
PARTICIPANT from the premises and PARTICIPANT will hereafter be barred from re-entry to COMPANY property for life,
solely at the COMPANIE'S discretion. Additionally, PARTICIPANT acknowledges that should PARTICIPANT be found willfully
destroying COMPANY property he or she will also be liable for any and all damages and will be required to pay all
costs involved based on the current fair market retail value of both product and labor. PARTICIPANT indicates full
understanding of these terms and agrees to such.
8. Being totally aware of and understanding and the above risks, nonetheless, the PARTICIPANT hereby EXPRESSLY
AGREES, COVENANTS, AND PROMISES TO ASSUME AND ACCEPT ALL RESPONSIBILTY AND RISK FOR ANY INJURY, DEATH, ILLNESS
OR DISEASE, OR DAMAGE TO THEMSELVES, TO OTHERS, OR TO THEIR PERSONAL PROPERTY OR THE PROPERTY OF OTHERS INCLUDING
THE COMPANY ARISING FROM THEIR PRESENCE ON ANY PROPERTY OF COMPANY AND FULLY ACCEPTS SOLD RESPONSIBITLY FOR ALL
SUCH RISKS, HAZARDS AND DANGERS AND HEREBY COVENTS NOT TO SUE THE COMPANY for any occurrence of any kind. Furthermore,
in exchange for permission to enter COMPANY property and engage in any of the activities described herein, PARTICIPANT
hereby voluntarily releases, forever discharges and agrees to hold harmless and indemnify COMPANY, its agents or
employees, contractors, officers, landlords. sub-lessors, owners, customers and all other persons or entities from
all and any liability claims, demands, actions or rights of all actions, which are related to, arise out of, or
in any way connect with any participation in use of any all terrain vehicle activity or any activity including
specifically but not limited to the negligent acts or omissions of the COMPANY, its agents or employees, contractors,
landlords, sub-lessors, volunteers, owners and all other persons or entities for any and all injury, death, illness
or disease, and danger to PARTICIPANT or PARTICIPANT'S property. (Continued)
BY SIGNING THIS AGREEMENT, PARTICIPANT RELEASES COMPANY FOR ANY LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFROM
ON ACCOUNT OF INJURY OF PARTICIPANT OR PARTICIPAN'TS PROPERTY OR RESULTING IN PARTICIPANT'S DEATH OR THAT OF ANY
OF PARTICIPANT'S NEXT OF KIN, RELATIVES OR FRIEND, WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY OR OTHEWISE.
IN SIGNING THIS DOCUMENT, PARTICIPANT EXPRESSLY ACKNOWLEDGES THAT THEY ARE HEREBY RELEASING THE COMPANY AND ITS
OFFICERS, DIRECTORS, AGENTS, REPRESENTATIVES. GUESTS, EMPLOYEES, 3rd-PARTY CONTRACTORS AND VOLUNTEERS FROM ANY
AND ALL LIABILITY FROM DAMAGE CAUSED BY ACCIDENT OR NEGLEGENCE OF ANY KIND.
9. This document, consisting of two typewritten pages, forms no entity, partnership or otherwise and is solely
executed for the purposes stated herein and is the entire agreement between PARTICIPANT and COMPANY.
By affixing my signature hereunto, I now certify that I have read, understand, and agree fully to all the terms
and conditions herein specified and understand fully the hazards present as set forth in this document and hereby
release the COMPANY from any liability.
Participant's Signature: ____________________________________________________ Date: ________ / ________ / _________
Participant's Printed Name: _________________________________________________ DL#: ___________________ State: ____
GS ID #: __________________ | DL Verified | GS Rep: ___________________________ Revised January 12, 2009 - SHG
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