I request to participate in the motorcycle riding and related activities of the Potomac Area Road Riders. I understand that the Potomac Area Road Riders and its officers and members (hereinafter "PARR") have no special training or accreditation and are not responsible for my safety. I understand and agree that PARR is not responsible for either the condition of the roads and highways or the conduct of individuals using them, including other participants in PARR’s activities. I also understand and agree that motorcycle riding activities are inherently dangerous and involve the risk of serious injury, paralysis, death, or property damage.

In consideration of being permitted to participate in motorcycle riding and related activities conducted by PARR, I hereby assume full responsibility for the risk of bodily injury, paralysis, death or property damage due to the negligence of PARR while in or upon any place or area of activity involving PARR, whether caused by the negligence of PARR or otherwise.

I, for myself, my spouse, legal representatives, heirs, and assigns, also release, waive, and discharge PARR from all liability to me, my spouse, legal representatives, heirs and assigns, for all loss or damage on account of injury to me or to property, including injury resulting in paralysis or death, whether caused by the negligence of PARR or otherwise, while I am riding, socializing or participating in any PARR-related activities.

I also agree to indemnify PARR from any loss, liability, damage or cost they may incur that results from my presence in or upon any place or area of activity involving PARR whether caused by the negligence of such persons or organizations or otherwise.

I also agree that this Release, Waiver, and Indemnity Agreement is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Virginia, and that if any portion thereof is held invalid, it is agreed that the balance, notwithstanding, shall continue in full legal force and effect.

By signing this Release, Waiver, and Indemnity Agreement, I certify that I have read this Agreement, fully understand it, and I am not relying on any statements or representations of PARR as an inducement to sign. I understand that this means I will NOT SUE PARR for any cause released herein.

IN WITNESS WHEREOF: I hereby execute this Release, Waiver and Indemnity Agreement on the ___________day of __________________, 200____.

Motorcyclist Signature:___________________________________     Witness:_________________________________________

Print Name:___________________________________

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