WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

In consideration for receiving permission to participate in a Motorcycle Run event, I hereby RELEASE, WAIVE, IS!"AR#E A$ !%VE$A$& $%& &% S'E &he (lue Room, Life )est or the !ity of !anton, &e*as, their officers, servants, agents, or employees +hereinafter referred to as RELEASEES, from any and all liability, claims, demands, action and causes of action -hatsoever arising out of or related to any loss, damage, or in.ury, including death, that may be sustained by me, or to any property belonging to me, W"E&"ER !A'SE (/ &"E $E#LI#E$!E %) &"E RELEASEES, or other-ise, -hile participating in such activity, or -hile in, on or upon the premises -here the activity is being conducted0 I hereby elect to voluntarily participate in said activity, and to enter the above1named premises and engage in such activity 2no-ing that certain ris2 of harm are or may be inherent in the various activities contemplated herein and that the activity may be ha3ardous to me and my property0 I V%L'$&ARIL/ ASS'ME )'LL RES4%$SI(ILI&/ )%R A$/ RIS5S %) L%SS, 4R%4ER&/ AMA#E %R 4ERS%$AL I$6'R/, I$!L' I$# EA&", that may be sustained by me, or any loss or damage to property o-ned by me, as a result of being engaged in such an activity, W"E&"ER !A'SE (/ &"E $E#LI#E$!E %) RELEASEES or other-ise0 I further hereby A#REE &% I$ EM$I)/ A$ "%L "ARMLESS the RELEASEES from any loss, liability, damage or costs, including court cost and attorney7s fees, that they may incur due to my participation in said activity, W"E&"ER !A'SE (/ %R !%$&RI('&E &% I$ W"%LE %R 4AR& by any action or failure to act, negligence, breach of contract, or other misconduct on the part of RELEASEES or other-ise0 It is my e*press intent that this Release and "old "armless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVER, IS!"AR#E A$ !%VE$A$& $%& &% S'E the above named RELEASEES0 I hereby further agree that this Waiver of Liability and "old "armless Agreement shall be construed in accordance -ith the la-s of the State of &e*as0 I$ SI#$I$# &"IS RELEASE, I A!5$%WLE #E A$ RE4RESE$& &"A& I have read the foregoing Waiver of Liability and "old "armless Agreement, understand it and sign it voluntarily as my o-n free act and deed8 no oral representations, statements, or inducements, apart from the foregoing -ritten agreement, have been made8 I am at least eighteen +9:, years of age and fully competent8 and I e*ecute the Release )or full, ade;uate, and complete consideration fully intending to be bound by same0 <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< Signature <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< 4rint $ame Witness by<<<<<<<<<<<<<<<<<

= 4lease ma2e sure this is sent in -ith your registration form0 Registration forms are due by April >?, >@9A0