8/9/2019 Burlington - MM1 HQ AAA Driver Improvement Program 4 Hour Signup

  • Status: Closed
  • Location: Burlington - MM1 HQ (Google Map)
  • Address: Motomark1 HQ, 2727 Tucker St., Burlington, NC 27215
  • Class: AAA Driver Improvement Program 4 Hour
  • Date: Friday August 09, 2019
  • Start Time: 8:45 AM sharp
  • Registration Deadline: Wednesday August 07, 2019
  • Cost: $65.00

Registration Form

*All Field Required

Contact Information

Format: xxx-xxx-xxxx

Motorcycle & Driving Information


mm/dd/yyyy


Drivers License State


Drivers License #

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

This is a release. Read it carefully and sign below. This release essentially says that I know that I am going to be driving a on the range / roadway and that in it self is a dangerous activity. I am asking Motomark1 LLC to provide me with drivers training. I will not make a claim, sue or expect Motomark1 LLC, its owners, operators, agents, employees, and associates to be legally responsible or pay for any damages.
I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in a driving course with Motomark1 LLC. I know and fully understand that there are inherent risks involved in the daily operation of a vehicle. I understand that these inherent risks and hazards can lead to serious accidents and can cause property damage, injuries and even death. I acknowledge and willingly assume all risk and hazards involved in participating in the driving course and the operation of a vehicle on the range / highway.
In consideration for Motomark1 LLC allowing me to participate in this training course. I voluntarily agree to release, discharge and hold harmless Motomark1 LLC and their owners, officers, employees, agents and associates, from all claims of liability arising out of negligence, recklessness, strict liability, breach of contract or and other act or omission which causes the undersigned illness, injury, or death and damages of any nature in any way connected with my participation in this activity. I also expressly agree to release and discharge Motomark1 LLC from any lawsuit, claim, damage of personal property, injuries or death that might happen after attending this training. I fully recognize and understand if I (or any minor on whose behalf I am signing this release) is hurt, dies, or my property is damaged, I am giving up my right to make a claim or file a lawsuit against Motomark1 LLC, its agents, employees, and all other parties and affiliates named herein even if they negligently or by some other act or omission cause injury or damage.
I agree to hold harmless and discharge Motomark1 LLC for any and all actions of my child / minor after attending this training school. I realize that even after attending a formal training course that accidents can happen which result in property damage, injuries and even death. I hereby give up my right to make claim, file lawsuit or expect Motomark1 LLC to pay for any damages caused by my child or any other party. As a parent or legal guardian of a participant under 18 years of age I have read and voluntarily agreed that the said minor may participate in this Motomark1 LLC course and I sign this release on their behalf. In addition, I give Motomark1 LLC, its owners, employees or associates permission to treat said minor in case of illness, injury, emergency, or accident. Should emergency medical services become necessary for the undersigned participant or minor, the expenses are the sole responsibility of the participant and not that of Motomark1 LLC. Personal medical insurance is strongly advised. Motomark1 LLC reserves the right to accept or deny service to any person. I hereby agree to follow all rules, regulations, and instructions of Motomark1 LLC while participating in this course. I also certify that I, and any minor on whose behalf I am signing are physically and mentally capable of participating in this course. I hereby agree that Motomark1 LLC may use film or photographic records of this training course for its promotional and or commercial purposes.
I HAVE READ THIS DOCUMENT. I UNDERSTAND THAT IT IS A RELEASE OF ALL CLAIMS. I UNDERSTAND I AM ASSUMING ALL RISKS INHERENT WITH DRIVING .I VOLUNTARILY SIGN MY NAME AS EVIDENCE OF MY ACCEPTANCE OF THE ABOVE PROVISIONS

I assume all risks and waive my right to sue.

Emergency Contact Information

Format: xxx-xxx-xxxx

Extra Information/Special Needs

Comments (Optional)


The MotoMark1 acronym "MARK" stands for: Motorcycle Accident Reduction Knowledge
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