Waiver and Release Form MUST be signed & returned prior to invoicing. This is for the obvious protection of our small business which cannot be subjugated to abilities on inabilities of the motorcycle or the rider.

Complete this form and fax it to the phone number sent to you at the time of registration or mail it.

WAIVER & RELEASE AGREEMENT (Sign Here)_________:
First and foremost, I understand that operating a motorcycle is an activity that precludes and contains considerable risk of serious personal injury, paralysis, dismemberment, property damage or loss of life or death. I hereby knowingly and freely accept risks of all personal injury, property damage arising from my participation in a Vegas Valley Motorcycle Tour and I hereby agree, that I, my dependents, heirs, successors, executors and assigns do release and hold harmless against, and indemnify Vegas Valley Motorcycle Tours, its owners, employees, and agents from any and all claims, including claims of death, bodily injury, illness, property damage or loss, however cause, arising from or related to a Vegas Valley Motorcycle Tour even if arising from the negligence of the releasees or others.

I hereby release, hold harmless, and promise not to sue Vegas Valley Motorcycle Tours, its officers, owners, directors, employees, or agents (collectively "releases") with respect to any and all bodily injury and/or other loss resulting from my renting the motorcycle.

In addition, by payment and/or my signature on this form, I certify that I do not have any physical or mental condition or disability that would create a hazard for me to drive and rent a motorcycle. I certify that I am over 21 years of age and am in possession of a valid motorcycle operator's permit endorsement on my valid driver's license.

I, the rental participant, be it motorcycle operator or passenger, have read the tour descriptions, Terms and Conditions and this Waiver & Release Agreement and will abide by all terms as stated herein or published within Vegas Valley Motorcycle Tours printed material. I hereby agree this waiver or release shall be binding upon and enforceable against me, my personal representatives, spouse, assigns, heirs, and next of kin without limitation.

I, the rental participant acknowledge and take full responsibility for any and all passengers.

I affirm that I have not obtained or am not relying on any verbal or written representation of Vegas Valley Motorcycle Tours as a basis for executing this Waiver and Release. I have read and understand the terms of this release and waiver of responsibility. I am about to sign and further understand that Vegas Valley Motorcycle Tours cannot rent a motorcycle, be it to the operator or passenger, without a duly signed release and waiver form. I understand clearly that I have given up substantial rights by signing this release and wavier of responsibility and have signed it freely and voluntarily without any inducement, assurance, or guarantee being make to me and intend my signature to by a complete and unconditional release of all liability to the greatest extent allowed by law.

Please Initial:
We agree to the terms & conditions which were signed and sent to Vegas Valley Motorcycle Tours ____.




Signature ____________________________________

Print Name ___________________________________

Date: __________________

 

Witness Signature _____________________________

Print Witness Name ____________________________

Date: ___________________
 

(Signatures must be witnessed.)


Please provide the following for Emergency Purposes, fill out as much as possible.

Emergency Contact: _____________________________

Relation: ______________________________________

Phone (home): __________________________________

Phone (work): ___________________________________

Phone (alt/cell): ________________________________

Passenger Information

Emergency Contact: _____________________________

Relation: ______________________________________

Phone (home): __________________________________

Phone (work): ___________________________________

Phone (alt/cell): ________________________________
 

Updated 05/12/2008 - 9:52am