Where History Meets The Road
Your Subtitle text
Membership

Historic Moto Gran Prix

Request for Invitation to Participate

 

 

Name ___________________________________       E-Mail ____________________________________

 

Address ____________________________________________    City ____________________________

 

State ______ Zip ______ Phone (Day) ____________________  Cell/Evening _______________________

 

THE UNDERSIGNED requests an invitation to participate in the events promoted by Bill Brown d/b/a HMGP Racing (formerly Historic Moto Gran Prix) as a: (check appropriate category)

 

Team Owner/Rider  ______     Rider Only _________     Exhibitor Only _________

Riders must have held either a motorcycle competition license or have certificate of completion of a track or advanced riding school to participate in on track events.

 

Fees: set at each event reflecting venue rental and whether on-track display is available

 

SPECIAL RULES:

  1. On-track conduct. These events are conducted as “gentlemanly” competition. As with all racing programs two cardinal rules are: 1) the first person into the corner can choose his line and, 2) it is incumbent upon a faster vehicle to pass the slower ones safely.  Unlike most racing organizations these rules will be enforced. If a exhibitor, particularly when passing, comes into contact with another or causes the other exhibitor to crash, the one initiating the contact or crash will be barred from the next 3 events or until the end of the season, whichever is the shorter period.
  2. Appearance.  Most events will be co-sponsored with professional racing organizations.  The motorcycle teams and vehicles must meet their appearance standards.  All vehicles must be clean, safe for use on the track and representative of the period in which they raced. All teams must conduct themselves in a manner that comports with the rules of the co-sponsoring organizations.

 

RELEASE, WAIVER AND INDEMNITY AGREEMENT

IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in any Historic Moto Gran Prix organized, sanctioned, promoted, or related events or activities (“Events”) or being permitted to enter for any purpose any RESTRICTED AREA (herein defined as including, but not limited to the racing surface, pit areas, infield, pre-grid area, hot pit area, approach area, shutdown area, and all walkways, concessions and other areas appurtenant to any area where an activity related to the event shall take place), THE UNDERSIGNED, for him/herself, his/her personal representatives, heirs, and next of kin, acknowledges, agrees and represents that he/she has, or will immediately upon entering such restricted areas, and will continuously thereafter, inspect such restricted areas and all portions thereof which he/she enters and with which he/she comes in contact, and he/she does further warrant that his/her entry upon such restricted area or areas, and his/her participation, if any, in the event constitutes an acknowledgement that he/she has inspected such restricted area and that he/she finds and accepts the same as being safe and reasonably suited for the purposes of his/her use, and he/she further agrees and warrants that if at any time, he/she is in or about restricted areas and he/she feels anything to be unsafe, he/she will immediately advise the officials of such and will leave the restricted areas;

1. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE, the promoter and any co-promoters, participants, racing association, agents, sanctioning organization and any subdivision thereof, track operator, track owner, officials, vehicle owners, drivers, riders, pit crews, any persons in any restricted area, promoters, sponsors, advertisers, owners and lessees of the premises used to conduct the event and each of them, their officials, employees, and agents for all purposes herein referred to as "Releasees", for all liability to the undersigned, his/her personal representatives, assigns, heirs and next of kin for any and all loss, for all loss or damage and any claim or demands therefore on account of injury to the personal property or resulting of death of the undersigned whether caused by the negligence of the Releasees, or otherwise, while the undersigned is in or upon the restricted area and/or competing, officiating, observing, working for, or for any purposes participating in the event;

2. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them for any loss, liability, damage, or cost they may incur due to the presence of the undersigned in or upon a restricted area, or in any way competing, officiating, observing, or working for, or for any purpose participating in the event and whether caused by the negligence of the Releasees or otherwise;

3. HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, due to the negligence of Releasees or otherwise, while in or upon the restricted area, and/or while competing, officiating, observing or working for or for any purpose participating in the event.

           4. HEREBY AGREES TO FOLLOW ALL RULES SET FORTH BY THE PROMOTER(S), and agrees to abide by any penalty(s) set by the promoter(s) in accordance with the procedure(s) set forth for the current race season, whether disseminated in a rule book or by other means.

5. HEREBY ACKNOWLEDGES THAT THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. I also expressly acknowledge that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

6. HEREBY AGREES that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS.

THE UNDERSIGNED further expressly agrees that the foregoing Release, Waiver and Indemnity Agreement is intended to be as broad and inclusive as is permitted by the law or the province or state in which the event is conducted in that if any portion thereof is held invalid, it is agreed that the balance shall not withstanding, continue in full legal force and effect.

 

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements, or inducements apart from the foregoing written agreement have been made.

 

I HAVE READ THIS DOCUMENT. I UNDERSTAND THAT THIS IS A RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN RACING. I VOLUNTARILY SIGN MY NAME, EVIDENCING MY ACCEPTANCE OF THE ABOVE PROVISIONS. AS CONSIDERATION FOR ENTRY IN THESE EVENTS, I AUTHORIZE THE USE OF PHOTOGRAPHS, MOTION PICTURES, AND TRANSMISSION BY ELECTRONIC MEDIA OF MY SELF, MY NAME, MY TEAM NAME, MY SPONSORS' NAME(S), MY TEAM OWNERS' NAME(S) AND MY ACCOMPLISHMENTS BY HISTORIC MOTO GRAN PRIX, CHRIS ANDERSON d/b/a SURFINTURF  AND CHET BURKS PRODUCTIONS, THEIR AGENTS, SPONSORS AND PROMOTERS, FOR PUBLICITY, PROMOTIONAL AND ADVERTISING PURPOSES OF THEIR EVENTS WITHOUT RESTRICTION.

 

 

Signature __________________________________ Event ____________________ Date ____/_____/_______


 
Emergency Contact __________________________________ Phone _____________________ On-site?________



Support Crew 1. ____________________________________  2. _______________________________________


Mailing Address: HMGP Racing

100 Guy Maddox Road   Braselton, GA 30517

Questions? Contact Bill Brown (404) 379 6091

Website Builder