Texas A&M Sports Car Club Autocross
Assumption of Risk/Release of Liability Form   
Fall 2003 / Spring 2004

I, _________________, understand and agree that the autocross of the Texas A&M Sports Car Club (TAMSCC) of which I am a participant involves certain risks and that regardless of the precautions taken by the TAMSCC, some bodily injuries may occur. 

Specific risks/hazards involved in auto crossing include, but are not limited to, the following
1.  Driving to or from the Riverside Annex
2.  Unforeseen mechanical failures of the participant’s vehicle while on course
3.  Personal injury while working, participating in, or watching an autocross

The likelihood of such injuries may be lessened by adhering to these safety rules or procedures:
1.  Drivers should use good judgment when traveling to and from the site.
2.  Drivers should maintain their vehicles and be aware of how their vehicle is operating.
3.  Workers and Spectators should stay alert to their surroundings at all times and report any unsafe actions to the Event Master or Autocross Chair immediately.

Knowing this information, in consideration of my participation in the autocross at TAMSCC, I expressly and knowingly release The TAMSCC, it’s representatives, officers, advisors and agents, the University, the State, its officers, and employees, from any and all claims and causes of action for property damage, personal injury or death sustained by me arising out of any travel or activity conducted by or under the auspices of the TAMSCC caused by risks associated by this activity and/or the negligence of the sponsoring group.  Participant acknowledges that The TAMSCC and the University/State are separate legal entities and should be treated as such.  In addition, I understand and agree The TAMSCC cannot be expected to control all of the risks articulated in this form but may need to respond to accidents and potential emergency situations.  Therefore, I hereby give my consent for any medical treatment that may be required during my participation with the understanding that the cost of any such treatment will be my responsibility.  Neither the University nor the TAMSCC carry medical nor accident insurance for the activities mentioned unless the participants are informed otherwise.  As such, participants should review their personal insurance portfolio.

Finally, I voluntarily and knowingly agree to protect, hold harmless, and indemnify the TAMSCC, its representatives, officers, advisors and agents; the University, the State, its officers, and employees, against all claims, demands, or causes of action for property damage, personal injury, or death, including defense costs and attorney’s fees arising out of my participation in the autocross of the TAMSCC. 

I have read the agreement and have willingly signed for the consideration expressed and with a full understanding of its purpose.  Participant represents that he/she is eighteen (18) years of age or older and is otherwise competent to execute this agreement, or that his/her legal guardian is also signing. 

Date: _______________  DOB:________________

Print Name: ____________________________  ID# (Social Security#): _________________

Signature: ________________________                Phone #: ______________________

Local Address: __________________________________________________________