INTRODUCTION: ()_________:
Your motorcycle tour in Nevada will cover a tremendous variety of riding conditions including twisty mountain roads, the possibility of gravel, sand or debris on the pavement, and even the possibility of rain, and high winds while on your tour. Riding a motorcycle in the desert may expose you to high temperatures of over 100 degrees Fahrenheit in the summer, 32 degrees or colder in the winter and extremes that vary widely, depending on the State and City we are in. It's important that you, the tour participant(s) are in reasonable physical good health and accustomed to spending many hours, or even days aboard a motorcycle and that you are FULLY capable of being a competent rider.

WAIVER & RELEASE AGREEMENT ()_________:
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 agree to ride my motorcycle that I may own or have rented or borrowed, within my riding ability and agree to not be influenced by any group or pack mentality to ride faster than is within my ability or the limits of what is considered safe riding conditions. Nor will I be influenced by riding displays by my fellow tour participants nor tour guides that could be considered unsafe. I fully understand that I may encounter riding conditions and roads that I have not traveled before, and have no prior knowledge of, and therefore will ride within a manner that is considered safe for those riding conditions. Furthermore, I agree that I will not in any circumstance ride the motorcycle on a Vegas Valley Motorcycle Tour, beyond what is commonly considered a safe manner.

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 participation in a Vegas Valley Motorcycle Tour whether as passenger or operator of a motorcycle, whether caused by the negligence of the releasees or otherwise during any respect associated with riding upon my own or my rental motorcycle.

In addition, by payment of a deposit, 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 or my fellow tour participants. 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 tour 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 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 accept any tour participant, be it 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 electronically ____, emailed ____, faxed to your office ____, scanned & faxed to Vegas Valley Motorcycle Tours ____.

Photographs

• During the course of our tours, we take many photographs which are the property of Vegas Valley Motorcycle Tours. These photographs may be published on our website and used to promote our products, our advertisers products and our 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): ________________________________

Vehicle Insurance Carrier: _________________________

Policy #: _______________________________________

Health Insurance Carrier: _________________________

Policy #: _______________________________________

Please list any allergies, medicines taken regularly or medical conditions?

Print: __________________________________________________________________________

If you have a severe allergy to insect stings, do you carry an "Anakit"? _____________________


Passenger Information

Emergency Contact: _____________________________

Relation: ______________________________________

Phone (home): __________________________________

Phone (work): ___________________________________

Phone (alt/cell): ________________________________

Vehicle Insurance Carrier: _________________________

Policy #: _______________________________________

Health Insurance Carrier: _________________________

Policy #: _______________________________________

Please list any allergies, medicines taken regularly or medical conditions?

Print: __________________________________________________________________________

If you have a severe allergy to insect stings, do you carry an "Anakit"? _____________________