Motorcycle Rider Waiver


SAFETY COURSE -- GENERAL RELEASE, WAIVER & INDEMNIFICATION AGREEMENT rev. 01/22
In consideration for the Motorcycle Safety Foundation, Inc. (“MSF”), the entity sponsoring the training, Motorcycle Rider Education,
the owner of the training motorcycle (if not owned by the undersigned), and the owners of the premises upon which training
occurs, including each of their affiliates, subsidiaries, members, employees, officers, coaches, instructors, aides, and/or
agents (collectively, the “Released Parties”), permitting the undersigned to participate in this Safety Education and Training
Course (the “Course”), I, the undersigned Participant, agree to all of the following:
Participation in the Course requires physical stamina, motor coordination, and mental alertness. I hereby attest that I have
no known physical or mental limitations and have not used any form of alcohol, or prescription or non-prescription drugs that
could impair my performance in the Course. Participants under 18 years of age must have this form signed by a
parent/guardian in person at the training location, or the parent/guardian may sign without appearing in person, in which case
this form must be NOTARIZED.
I fully understand and acknowledge that (a) this Agreement is intended to be as broad and inclusive as permitted by the laws
of the State in which the Course is conducted; (b) I have been advised of and agree to waive, on behalf of myself, my
personal representatives and my heirs, all rights and benefits flowing from any state statute that would otherwise limit the
scope of this Agreement or the undertakings and releases contained herein; (c) if any portion of this Agreement is held invalid
or legally unenforceable, then the balance shall, notwithstanding, continue in full force and legal effect; and (d) I have had the
opportunity to read this entire Agreement and ask any questions about it, and I fully understand its terms and meaning.
READ CAREFULLY: THIS IS A GENERAL RELEASE, WAIVER, ASSUMPTION OF RISK & COVENANT NOT TO SUE
I fully understand and agree that: (a) there are DANGERS AND RISKS OF INJURY, DAMAGE, OR DEATH that exist in my
participation in the Course, and in my use of motorcycles and motorcycling equipment (“Motorcycling Activities”); (b) my
participation in the Course and Motorcycling Activities may result in injury or illness including, but not limited to, BODILY
INJURY, DISEASE, STRAINS, FRACTURES, PARTIAL OR TOTAL PARALYSIS, OTHER AILMENTS THAT COULD
CAUSE SERIOUS DISABILITY, AND DEATH; (c) these risks and dangers may be caused by negligence of Released
Parties, other Course participants, or others, and may arise from foreseeable or unforeseeable causes; and (d) by
participating in the Course and Motorcycling Activities, I, on behalf of myself, my personal representatives and my heirs,
hereby knowingly and voluntarily assume all risks and all responsibility, and agree to release the Released Parties
for any injuries, losses and/or damages, including those caused solely or in part by negligence of the Released Parties or
any other person. If I have brought a motorcycle or helmet to use in the Course, I also agree that this release applies to any
damage that occurs to or from my motorcycle or helmet during the Course.
I fully understand and agree that, on behalf of myself, my personal representatives and my heirs, I hereby covenant not to sue,
and am relinquishing any and all rights I now have or may have in the future to sue the Released Parties for any and all injury,
damage, or death, whether known or unknown, that I may suffer arising from the Course or Motorcycling Activities, including
claims based on the Released Parties’ negligence.
READ CAREFULLY: THIS IS AN INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
I, on behalf of myself, my personal representatives and my heirs, agree to hold harmless, defend, and indemnify the Released
Parties from any and all claims, suits, or causes of action by any third parties, including Released Parties or other Course
participants, for bodily injury, property damage, or other damages that may arise out of my participation in the Course or
Motorcycle Activities, including claims arising from the negligence of Released Parties, other Course participants, or any other
party.
I HAVE READ BOTH AGREEMENTS AND BY SIGNING BELOW I AGREE TO THE ABOVE TERMS, AND TO ASSUME ALL
RISKS AND RELEASE THE ABOVE-NAMED RELEASED PARTIES FROM LIABILITY FOR PERSONAL INJURY,
PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. I ALSO ACCEPT
LEGAL RESPONSIBILITY AND PAY FOR ANY LOSS FOR CLAIMS OR LAWSUITS AGAINST THE ABOVE-NAMED
RELEASED PARTIES ARISING FROM MY PARTICIPATION IN THE COURSE.

Participant Name (Printed) – First, Middle, Last:  
License or ID# and State:  

Parent/Legal Guardian signature, if Participant under 18 yrs of age:
Relationship:  
Guardian License or ID# and State:  

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Motorcycle Rider Waiver
lock iconUnique Document ID: 67d29a344ffd6a40593c48dfd4d58d48edd554d7
Timestamp Audit
March 18, 2024 4:17 pm CDTMotorcycle Rider Waiver Uploaded by Mike Vermillion - design@pixelcrownstudios.com IP 172.59.122.221