Please print this form and present it
at Moabi Regional Park. County of San Bernardino Public Works Group
COMMUNITY AND CULTURAL RESOURCES DEPARTMENT
REGIONAL PARKS DIVISION
MOABI REGIONAL PARK
RELEASE, WAIVER OF LIABILITY
AND INDEMNITY AGREEMENT
Because all off-road vehicle riding in the
desert is dangerous and can lead to serious injury or death, the County of San Bernardino
requires that, in consideration for being allowed to ride an off-road vehicle in Moabi
Regional Park, each person who signs this document agrees to each of the following:
- To assume full responsibility for, and hereby
acknowledges the risk of, any bodily injury, death or property damage that may arise from
riding any type of off-road vehicle anywhere within the confines of Moabi Regional Park or
on adjacent property, whether such bodily injury, death or property damage is caused by:
- a condition of the property of Moabi Regional Park or
adjacent property; and/or
- the negligence of the County of San Bernardino or any
of its employees, agents, officers, volunteers or contractors;
- To release, waive, discharge and covenant not to make
a claim against or to sue the County of San Bernardino or any of its employees, agents,
officers, volunteers, or contractors from all liability for bodily injury or death or
property damage from any course whatsoever including but not limited to a condition of the
property of Moabi Regional Park or adjacent property or the negligence or other acts of
the County of San Bernardino or any of its employees, agents officers, volunteers or
contractors;
- To indemnify, save and hold harmless the County of
San Bernardino and its employees from any and all loss, liability damage or cost that may
be incurred due to the riding of any type of off-road vehicle anywhere within the confines
of Moabi Regional Park or adjacent property of the negligence or other acts of the County
of San Bernardino or any of its employees, agents, officers, volunteers or contractors,
from any course whatsoever, including the negligence of any person.
- To attest that no oral representations, statements,
or inducements apart from the foregoing written agreement have been made;
- To give consent to whatever medical care might be
provided or available on the premises and to conform and comply with all the rules and
regulations of the park.
- To read and voluntarily sign this Release, Waiver and
Indemnity Agreement.
- I am aware of and specifically waive the provisions
of California Civil Code Section 1542, which provides as follows: "A general
release does not extend to claims which the creditor does not know or suspect to exist in
his favor at the time of executing the release, which if known by him must have materially
affected his settlement with the debtor."
OFF ROAD VEHICLE RIDING IS
DANGEROUS
| SIGNATURES |
|
|
|
__________________________________
MINOR (under 18) |
_____________________________________
PRINT NAME |
____________
AGE |
____________________
DATE |
__________________________________
PARENT/GUARDIAN OF MINOR |
_____________________________________
PRINT NAME |
____________
AGE |
____________________
DATE |
__________________________________
ADULT (over 18) |
_____________________________________
PRINT NAME |
____________
AGE |
____________________
DATE |
| I agree that I will not
allow anyone to operate or ride on the off-road vehicle(s) which I am bringing into Moabi
Regional Park unless the operator or rider has first signed this form and if I fail in
this regard I will indemnify and hold harmless the county of San Bernardino and its
employees as per the terms contained in paragraph number three above in any lawsuit
involving someone who has not signed this form. |
__________________________________
ADULT RESPONSIBLE FOR OHVs |
_____________________________________
PRINT NAME |
____________
AGE |
____________________
DATE |
THIS IS A WAIVER OF ALL
LIABILITY
MAKE 2 COPIES. DISTRIBUTION:
Original -- CCR; Copy Customer; Copy Moabi Regional Parks File |