Legal Middle Name of Student(Required) If the student doesn't have a middle name, enter a space. If the student has two middle names, enter both. If they don't have a middle name, type "none".
Contract and Consent(Required) The undersigned hereby represents and agrees that they have the full legal authority to commit and fully bind both the undersigned and the Participant, as well as the representatives, agents, principals, predecessors, and successors of the undersigned and of Participant and further acknowledges his or her understanding that there are risks inherent in the process of learning to drive, and in driving a vehicle and that while MasterDrive has taken and will take every precaution to minimize such risks and to maximize the safety of MasterDrive students, trainees and participants, some risks understandably remain, and cannot be controlled by MasterDrive or its teachers, coaches, employees, and agents.
In consideration of the above, and of the undersigned participant's ("Participant") attendance at and/or participation in a MasterDrive training program, Participant hereby agrees as follows:
I hereby knowingly and voluntarily waive forever any and all liability on the part of, and covenant not to sue or institute any claim against MasterDrive, its agents, instructors, insurers, lessors, successors, or assigns, or of any sponsor (collectively "MasterDrive"), resulting from or arising out of or in connection with my attendance at and/or participation in a MasterDrive training program. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless MasterDrive from any and all claims, demands or causes of action, which allege negligent acts or omissions of MasterDrive, unless such negligent acts or omissions are found by a court of law to constitute willful, wanton or gross negligence.
I warrant and represent that I personally, and my vehicle, are fully insured and will at all times during the period of my participation in the MasterDrive training program continue to be fully insured in accordance with applicable state law; and in addition, that I have both personal liability and property damage coverage deemed by me sufficient and adequate to cover any exposure to me, my vehicle, or the property or person of others, arising from participation in the MasterDrive program.
I acknowledge that the development of driving skills entails known and unanticipated risks, which could result in physical and/or emotional injury to myself and/or third parties, and damage to my property and/or the property of others. I understand that while every effort is made to reduce them, such risks simply cannot be eliminated without jeopardizing the essential elements of this type of driving skills training.
I acknowledge that I must accept and assume all of the risks of my individual actions and responsibilities, and those existing in this type of training activity. I therefore accept and assume full responsibility for my actions during all MasterDrive training, and during such time periods and locations, which are within the scope of such training (including but not limited to classrooms, parking lots, etc.). It is understood that MasterDrive will not accept responsibility for the actions and/or mistakes of any participant. The participant's attendance is voluntary, and he or she elects to participate in spite of the inherent risks explained above.
I do hereby consent, without further consideration or compensation for the use (full or in part), of my name, photographs and/or videotapes taken of me and/or recordings made of my voice and/or written extraction, in whole or in part, for the purposes of illustration, broadcast, promotion, marketing or distribution in any manner by MasterDrive, Inc., its' employees and agents and that the permission I am granting for that use and publication is irrevocable and that the biographical materials may be used in any manner or media without notifying me. And without my review or approval at all times in the future.
Should MasterDrive or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, the Participant agrees to indemnify them for all such fees and costs.
By signing this document, I acknowledge that if I am injured or if my property is damaged during my participation in this training, I may be found by a court of law to have waived my right to maintain a lawsuit against MasterDrive, its agents, instructors, insurers, sponsors, employees, successors, and assigns.
I acknowledge that I have read and fully understand the terms and provisions of this document and agree to be bound by its terms. I understand that I am giving up substantial rights, including my right to sue. This agreement is intended to be as broad and inclusive as permitted by law. If any part of this agreement is held to be invalid, the remaining portions shall continue in full force and effect. I hereby agree to all of the terms set forth above.
I hereby acknowledge that I may have provided my personal and credit card account information to MasterDrive of Colorado Springs, LLC, solely for the purpose of allowing fees to be charged on my credit card for services provided. If I have entered into a payment plan agreement, I hereby give MasterDrive of Colorado Springs, LLC, permission to retain my personal and credit card information for ongoing charges pursuant to the payment plan that I have entered into with MasterDrive of Colorado Springs, LLC.
I understand that at the sole discretion of MasterDrive, any monies refunded to customers will be assessed a 5% fee to cover banking and processing fees incurred by MasterDrive, for payments received.
I acknowledge and understand that there are risks inherent in allowing access to my personal and financial information and that while MasterDrive of Colorado Springs, LLC, has taken, and will take, every precaution to minimize such risks and to protect the privacy of the information provided, some risks understandably remain and cannot be controlled by MasterDrive of Colorado Springs, LLC, or its employees and agents. I hereby knowingly and voluntarily waive any and all liability on the part of MasterDrive of Colorado Springs, LLC, its agents, instructors, insurers, successors, or assigns, (collectively "MasterDrive"), resulting from their use of my personal and credit card information.
I agree to endeavor to keep scheduled training events and understand that there may be rescheduling fees unless MasterDrive is notified more than 48 hours in advance of a training event. Fees are as follows: $50 for Court Level 1, and $100 for Court Level 2.
I agree to the terms of this Contract and Waiver of Liability / Release Agreement
Signature(Required) Participant (over 18 years) OR Parent/Guardian of under 18 Participant, type your name to serve as your signature.
Comments If you have questions or comments or need special accommodations, explain in the box below: