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Car Number ______

SAFE MOTORSPORTS, INC.

RELEASE

In consideration of being permitted to participate in the hot lapping event, I hereby release and forever discharge, SAFE Motorsports, Inc., and its Instructors, Officials, Directors, Officers and Fellow Drivers, personally and as agentsof the corporation, from any and all actions, causes of actions, liability, claims and demands upon or by reason of any damage, loss, or suffering which may be sustained by me in connection with and in the course of participating in this event, regardless of any negligence on the part of anybody. I hereby waive all my rights to the claims, actions, causes of action, demands or suits for loss, injury, damage or suffering sustained in this event. I assume all the risks inherent and incidental to this type of activity. I KNOW THE NATURE OF THE ACTIVITY AND UNDERSTAND THAT SUCH ACTIVITY IS VERY DANGEROUS; THAT PARTICIPATION INVOLVES RISK OF SERIOUS BODILY INJURY INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH ("RISKS"); THAT RISKS MAY BE A RESULT OF CONDUCT OR ACTIONS OF MYSELF OR OTHERS, OR A RESULT OF THE CONDITION OR LAYOUT OF THE COURSE, OR THE RESULT OF THE NEGLIGENCE OF INSTRUCTORS OR OFFICIALS, OR FELLOW DRIVERS, OR THE RESULT OF SOMETHING UNFORESEEABLE. I hereby agree to hold SAFE Motorsports, Inc., and its Instructors, Officials, Directors, Officers and Fellow Drivers, harmless from and against all claims, demands, actions, causes of actions, or suits which may be brought or made on account of or by reason of any injury or damage or suffering inflicted, regardless of negligence.

I HAVE READ THE PROVISIONS CONTAINED HEREIN, INCLUDING THE RELEASE AND WAIVER OF LIABILITY, AND ASSUMPTION OF RISK, AND AGREE TO SAID PROVISIONS AND RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK IN CONSIDERATION OF MY BEING PERMITTED TO PARTICIPATE IN THIS HOT LAPPING EVENT.

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Participant's Printed Name Dated

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Participant's Signature

Bring this form to the event. It will be collected in the Tech Line.