NOTE: If you are under your states legal age, you must have written parental consent signed at the bottom of this form. In consideration of receiving permission from the St. Hilaire Lions to enter upon the premises of this baja race, the receipt of such permission being hereby acknowledged, and in further consideration of receiving permission to participate, when qualified either as a driver, pit crew, or in any other capacity in any baja race held at these premises, the receipt of such permission being also acknowledged, each of the undersigned hereby releases the St. Hilaire Lions and its agents, officers, servants, and employees of and for any and all liability, claims, demands, actions, and causes of action whatsoever, rising out of or related to any loss, damage, or injury, including death, that may be sustained by any and each of the undersigned and or property of any or each of the undersigned, while in, on, or upon the premises, or any premises leased to or under the control or supervision of said parties. Each of the undersigned, being duly aware if the risks and hazard inherent upon herein during upon said premises or participating in any baja race held at said premises, hereby elects voluntarily to enter upon said premises knowing the present condition and knowing that said condition may become more hazardous and dangerous during the time that each of the undersigned is upon said premises. Each of the undersigned hereby voluntarily assumes all risk of loss. damage, or injury, including death, that may be sustained by any or each of the undersigned. or any property of any or each of the undersigned while in or upon said premises. This release shall be binding upon the distributies, heirs, next of kin, executors, and administrators of each of the undersigned. In signing the foregoing release, each of the undersigned hereby acknowledges and represents 

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a) That s/he has read the foregoing release, and understands and signs it voluntarily.

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b) That s/he is over 18 years of age and of sound mind or if under the age of 18. that s/he has obtained parents permission to enter said event by parent or guardian and has delivered to the St. Hilaire Lions a copy of said approval.

c) That s/he is an independent contractor and assumes and takes all responsibility for all charges premiums, taxes. if any, payable on any funds he may receive as a result of his activities, including without limiting, the generality of the foregoing, social security taxes, unemployment insurance taxes, compensation insurance, income taxes and withholding taxes.