Ride Janie Ride 2017
Waiver and Release of Liability Form
Please read, understand and sign.

Upon signing of this document I declare I am fully aware of the dangers and hazards of operating a motorcycle independently or participating as a motorcycle passenger while traveling with a Motorcycle touring group. I expressly accept and assume the risk of and all legal responsibility of any injury to person or property resulting from any of the inherent dangers and risks of operating a motorcycle or participating as a motorcycle passenger. I also certify that I am fully licensed, insured and competent to operate a motorcycle in a safe manner and that the motorcycle I use on this tour is in a safe operational state. I state I am knowledgeable in the safe operation of my motorcycle and will operate it a manner that is consistent with all applicable laws and regulations pertaining to this motorcycle tour. I understand I will be riding on public highways, byways and back roads and I am solely responsible for the speed and operational attributes of my motorcycle while on this tour. I hereby agree to irrevocably and unconditionally settle, release, remit, forever discharge, covenant not to sue and defend, indemnify and hold Ride Janie Ride Foundation event coordinators, its owners, predecessors, successors, assigns, subsidiaries, directors, agents, employees, representatives, attorneys, affiliates and all persons acting by, through or in concert with them (including any event organizers and other event workers) Illinois Harley-Davidson, Route 66 H.O.G., Wild Fire H.O.G., Fox River H.O.G.,Rescue Riders, Skooters Roadhouse or any staff members harmless from any and all liability, actions, claims and demands of any nature, with respect to any expense, loss, claim, injury, illness or property damage of any kind occurring from my activity of touring by motorcycle or any other activities that are a part of, or peripheral to, the motorcycle event. I also certify I have no known mental or physical impairment that may affect my safety or the safety of other tour group members. I understand that the choice of wearing protective headgear is my option and solely my option, as well as other protective gear and I understand that I am responsible for compliance to all State/Provincial laws regarding helmets. Furthermore, I certify that I am not under the influence of any narcotic, alcohol or other drug that may impair my judgments or abilities to operate my motorcycle in a safe manner. Nor will I, at any time on the tour, operate a motorcycle under the influence of alcohol or other drugs. Furthermore, I grant full permission to Ride Janie Ride Foundation, its employees and representitaves and all persons acting by, through or in concert with them (including event organizers and other event workers) to record my participation in the event using any media whatsoever. Such recordings shall be the property of Ride Janie Ride Foundation and it may use or distribute all or any part of such recording and my likeness and may alter or modify the same in any manner, regardless of whether or not I am recognizable, without reimbursement. I also understand that this Waiver and Release is in force until May 08, 2017, and covers any and all activities



Rider Signature_______________________________________________Date______/_______/_____
Print Name________________________________________________________________________
Drivers License Number_______________________State/Province/Country______________________
Passenger Signature____________________________________________Date______/______/_______
Print Name_____________________________________________