Hall of Fame 4x4 Trail Riders, Inc.

Hold Harmless Agreement

I/We, the undersigned, (herein after referred to as participant) assumes all risks and/or hazards associated with participant's involvement in the Hall of Fame 4x4 Trail Riders, Inc. Participants agrees to indemnify and hold harmless all Club Officers, Sponsors and/or other third, fourth, etc. parties involved in club activities.

Participant assumes full responsibility for any injury, loss or liability which may result or be alleged to have resulted from the involvement in these activities. This includes, but is not limited to loss of life, limb and sight. In case of injury or sudden illness, Participant hereby gives authorization to any hospital, doctor, or emergency personnel to render emergency aid as may be required at the time for Participant's health and safety. It is understood by Participant that the expense of this service is accepted by Participant, and is advised that adequate health insurance be maintained.

This document applies to any and all club activities in which Participant is involved. It applies not only to the date of signature, but to any further dates. This document will be in effect and unless written revocation is received.

Not Valid Unless Signed:

Signature of Participant X________________________ Date _________________

Please print clearly below, last name first.

Name _________________________  Spouse ___________________ # Children _____________

Address ____________________________City _____________State _______ Zip Code_______

Home Phone (___)______________ E-Mail___________________@_________________

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