Wild Hog Music Fest & Motorcycle Rally

Helena, Arkansas April 25 - 27, 2003

Waiver of Liability

I and/or we, the undersigned, agree to indemnify and hold harmless the Wild Hog MusicFest & Motorcycle Rally,
collectively or its officers and assistants individually, from all cost, expense, and liability arising out of my and/or 
our person(s) or property(s) which may be caused by any act or failure to act, by the Wild Hog Music Fest & Motor-
cycle Rally event, its officers, agents or by the City of Helena, Arkansas arising directly or indirectly from my and/or our participation in any event or presence at the event, and I hereby assume liability for any loss, damage or other liability 
from such events. I certify that I am an experienced motorcyclist holding a valid motorcycle endorsement on my driverís 
license. I am aware of the dangers and risks inherent to motorcycle operations including the risk of serious bodily injury 
or death to motorcycle operators and passengers; that I have liability insurance covering my operations of my motorcycle;
 that other motorcyclists are participating in such event and their operations
may constitute a hazard to me or my motor-
cycle and the Wild Hog Music Festival & Motorcycle Rally , its officers, agents, and employees are entitled to rely upon 
the representations made by me herein.

Dated this, the ___________of __________, 2003

Rider

 

Print Name: ______________________†† Signature: ___________________

 

Address: _________________________††† City: ____________St: ___†† Zip: ______

 

E-Mail Address: ________________________

 

Passenger

 

Print Name: ______________________†† Signature: ___________________

 

Address: _________________________††† City: ____________St: ___†† Zip: ______

 

E-Mail Address: ________________________

 

 

Please fill out completely and return with registration form and registration fee.