To: 2119285 ONTARIO INC., operating as “Toni Sharpless Super Sonic Road Race School” (hereinafter the "Course Provider"), its employees, officers, directors, agents, volunteers, contractors, servants or representatives (hereinafter the "Released Parties").
As a Participant, I fully understand and agree to the following:
Assumption of Risks: In consideration of my participation in this Course, I acknowledge that this Course involves various risks, dangers and hazards which all participants are required to assume, including but not limited to: Muscular injuries and soft tissue injuries, broken bones, bruises, scrapes, cuts, sprains, dislocation, head, facial eye and/or dental injuries; Injuries resulting from walking, running, riding, slipping and/or falling; and Death, injuries or illness resulting from failure to follow directions from those in charge of the program and all related activities.
I hereby freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property or loss resulting from my participation.
Consent to Medical Treatment:
I agree to hereby give permission to have the Course Provider and the Released Parties arrange for any emergency medical care including hospitalization and transportation, if necessary, to the administration of such emergency medical treatment as may be deemed necessary in the circumstances. I agree to pay all costs associated with medical care and transportation.
Release: In consideration of being granted permission to participate in the above noted Course, I hereby for myself, my heirs, executors, administrators, or any others who may claim on my behalf, covenant not to sue, and hereby waive, release and discharge the Course Provider and the Released Parties from any and all claims of liability for personal injury, illness, loss of life or property damage of any kind or nature, arising out of or sustained in the course of my participation.
Indemnity: In consideration of being granted permission to participate in the above noted Course, I agree to hold harmless and indemnify the Course Provider and the Released Parties from any and all liability, loss, claims, demands, costs and expenses, including reasonable legal fees, due to any personal injury or property damage to any third party arising from my participation as a participant in the Course.
2119285 ONTARIO INC. O/A Toni Sharpless Super Sonic Road Race School
Personal Information: I consent to the collection, use and disclosure of personal information and am aware that the following personal information (as defined under Ontario privacy law) may be collected before, during or after the Course by the Course Provider, including but not limited to:
1. Names of participants and guardians, addresses, phone numbers, ages, sizes and birth dates of participants, and details about the Course attended by the Participant; and
2. Photographs or videos of participants while participating in the Course.
I consent to the collection, use and disclosure of personal information described in the paragraphs below:
I AM AWARE OF THE NATURE AND EFFECT OF THIS PARTICIPANT WAIVER, ASSUMPTION OF RISKS, CONSENT TO MEDICAL TREATMENT, RELEASE, INDEMNITY AND PERSONAL INFORMATION, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
If the Participant is under 18 years of age, a Guardian is required to sign all waivers for the minor and is encouraged to attend the classroom portion.
All participants can bring your own riding gear if they meet these qualifications;
Riding gear must consist of a full face motorcycle helmet DOT approved or better, in good condition, reputable brand name motorcycle riding gear, textile or leather or combination of both; is a one-piece suit or has a zip closure zipping the jacket to the pants 360 degrees or beaver tail attaching at the rear of the jacket, has armour in the shoulders, elbows and knees, a full length back protector, full coverage gloves, and boots that cover the ankles (no steel toed boots or high profile heels).
Please note: A copy of this document will be available at the track, and is required to be signed by all participants prior to beginning the event.
Print name Date
Particpant's Signature Witness
*Minor Waiver required for any participant under the age of 18 yrs. old. Available during the check out process, must be filled out and signed by parent or guardian.