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FINISHLINE RACING SCHOOL

3113 So. Ridgewood Ave.
Edgewater, FL 32141
Tel: 386-427-8522 Fax: 386-427-3915

medical release

warning, release, assumption of risk, agreement to hold harmless

Participant (hereafter referred to as "Undersigned") must read carefully and sign.

Undersigned understands that the FinishLine Racing School uses Radio Transmissions in their teaching curriculum. This method makes it necessary for the participant to wear transmitter "ear pieces". Because of the cost factor, the FinishLine Racing School is forced to have the participants share ear pieces. Even though the FinishLine Racing School takes every sanitary precaution to ensure the participants medical safety, undersigned agrees that neither the FinishLine Racing School nor sponsor, nor the employees or volunteers of either organization shall in any way be held liable for any medical injury in any way received on account of, or while engaged in, any activity sponsored by FinishLine Racing School and sponsor. Undersigned further agrees that neither the aforementioned School nor any of its employees, volunteers or instructors shall be responsible for the payment of any bills rendered for medical services to participant as a result of disease or bodily injury.

In consideration of permitting Undersigned to take instruction and to engage in all activities related to the FinishLine Racing School program, including but not limited to practicing, or performing, Undersigned hereby assumes all the risks to myself associated with such activities and agrees to hold harmless the School and sponsor, its employees, agents, representatives, instructors and volunteers, and waive any and all liability suits, causes of action, debts, claims, or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to the School. The terms hereof shall serve as a release and assumption of risk for the Undersigned's heirs, estate, executor, administrator, assignees, and for all members of his or her family.

i accept these terms

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Signature