IT IS FULLY UNDERSTOOD BY THE UNDERSIGNED THAT THERE IS SOME INHERENT RISK
ASSOCIATED WITH PARTICIPATING IN THIS SPECIAL OHV EVENT,
INCLUDING DAMAGE TO VEHICLES. IN ADDITION, THE UNDERSIGNED AGREES TO INDEMNIFY
AND HOLD HARMLESS, Glenn A. Loud Organizer , SPONSORS, AGENTS, PROPERTY OWNERS AND
PARTICIPANTS OF ANY LIABILITY HE/ SHE MAY INCUR. THE
UNDERSIGNED AGREES TO ASSUME FULL RESPONSIBILITY FOR HIS/ HER ACTIONS AND
ACTIONS OF THEIR PASSENGERS WHICH COULD RESULT IN INJURY,
DEATH, OR PROPERTY DAMAGE WHILE PARTICIPATING IN THIS SPECIAL EVENT.
FURTHERMORE, ALL PARTICIPANTS ARE EXPECTED TO ABIDE BY THE
TREAD LIGHTLY PROGRAM.

I HAVE READ AND UNDERSTAND THE RELEASE AND WAIVER OF LIABILITY

AND INDEMNITY.

DRIVER SIGNATURE_____________________________________________

PASSENGER 1 SIGNATURE_______________________________________

PASSENGER 2 SIGNATURE_______________________________________

PASSENGER 3 SIGNATURE_______________________________________
 
 

Your off-road driving abilities are Basic( ), Intermediate( ), Advanced( )

Vehicle Make/Model _____________________________________________________

Vehicle Modifications _____________________________________________________

Send to Glenn Loud
             15 south rd
           Westhampton Mass 01027