Independence Day Celebration

Register online and submit, then pay online.

 

Independence Day Celebration

 

Wayne County Cruisers Burnout Contest Registration & Waiver Form

• Designated event entry fees are to be paid when registration form is filled out.
• Registrations accepted at time of event. Pre-registration is available but not required.
• Burn out time will be up to the Pit leader’s discretion.
• Wheel chucks will be available for those who want them.
• All automobiles (cars, trucks, etc.) will be in one class weather Street, modified or motorcycles, no ATVs or related vehicles, will be allowed to participate.
• Drivers doing burn outs or other exhibition driving away from the show or designated burn out area will be ticketed by the local law enforcement agency.
• Pit leader will stop any burnout at the sight of anything deemed to be unsafe or hazardous with blast of air horn.
• Drivers will stop their burnout and shut down their vehicle at the sound of the air horn.
• There will be no burning out from the burnout pad, wheel rotation must come to a complete stop before vehicle leaves the burnout pad.

I, (“Participant”), acknowledge that I have voluntarily applied to participate in the activities at Wayne County Cruisers Car show or Special event, including but not limited to the Burnout Contest.
__________________________________________________________________________________________

I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

As consideration for being permitted by Wayne County Cruisers Car Club, the City of Jesup, the City of Screven, Wayne County, Jesup Jaycees, Fair Owner and Employees, Wayne County Rec Department and all volunteers and sponsors, these activities and use the facilities, I forever release the Wayne County Cruisers Car Club, the City of Jesup, The City of Screven, The County of Wayne, Wayne County Rec Department, Jesup Jaycees, all volunteers, sponsors and all affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Release in connection with any of the matters covered by the foregoing release. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND WAYNE COUNTY CRUISERS CAR CLUB, THE CITY OF JESUP, THE CITY OF SCREVEN, THE COUNTY OF WAYNE, ALL VOLUNTEERS, SPONSORS AND THE LESSOR, AND SIGN IT OF MY OWN FREE WILL.

Signature (type full name)


Registration



581total visits,4visits today

Comments are closed.