Garfield County Clerk
             
Car Registration Form
 
Vehicle Make
Vehicle Model
Vehicle Year
Are you attending as part of a motor or car club?
If yes above, please specify the club name
 
Car Registration:   $20.00   Item Subtotal:  
$20.00
Total:
$20.00
 
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.
 
I verify this statement by placing my initials here
 
As consideration for being permitted by the State of Utah(State), the County of Garfield (the County), and any lessor of the City premises, (Lessor), to participate in these activities and use the City premise and facilities. I forever release to the State, the County, the Lessor, any 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, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to my (1) my participation in these activities, (2) the negligence or other acts, whether directly
connected to these activities or not, and however caused, by any Releasee, or (3) 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 Releasee
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 THE COUNTY, THE STATE,
AND ANY OF ITS VOLUNTEERS, EMPLOYEES, OR THOSE IN ANY WAY ASSOCIATED WITH THIS EVENT.
 
Signature
 
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