CVMA® KS 21-3 Rumble On The Prairie Poker Run

RSVP

Insurance: It is understood by the undersigned that all registered vehicles are expected and understood to carry liability coverage within minimum limits as dictated by statutory limit in the state of registration.

Liability: In consideration of the acceptance of the right to participate, entrants and passengers, by execution of this entry form, release and discharge Combat Veterans Motorcycle Association® (CVMA®), CVMA® Chapter 21-3, ALL SPONSORS, VOLUNTEERS, THEIR OFFICERS, AGENTS, SERVANTS, DIRECTORS, TRUSTEES, EMPLOYEES, REPRESENTATIVES, AND ANYONE ELSE CONNECTED WITH THE MANAGEMENT OR PRESENTATION OF THE CVMA® Chapter 21-3 “Rumble on the Prairie" MOTORCYCLE POKER RUN (Hereinafter, the “Released Parties") of and from any and all known or unknown damages, injuries, losses, and /or claims from any cause whatsoever that may be suffered by entrant and passenger to his person or property. Further, each entrant and passenger expressly agree to indemnify all the foregoing entities, firm, persons, and bodies of and from all liability occasioned or resulting from the conduct of entrants and passengers or any participants assisting or cooperation with entrants and passengers and under the direction or control of entrants and passengers.

I understand and agree that all “RUMBLE ON THE PRAIRIE" MOTORCYCLE POKER RUN entrants and passengers and their guest participate voluntarily and at their own risk in all activities connected with this event and I assume all risks of injury and damage arising out of the conduct of such activities. I understand that this means that I agree not to sue the “Released Parties" for any injury or resulting damage to myself or my property arising from, or in connection with said event.

I understand that entrant and /or passenger must be 18 years of age to participate in the Poker run card game.

By filling out this form release, I certify that I have read this Release and fully understand it and I am not relying on any statements or representations made by the “Released Parties."

Rider: $20.00 Passenger: $10.00 Additional Hand/s: $10.00 ea

Payment will be made the day of the event during registration.