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I hereby acknowledge and certify that:
    • I am fully knowledgeable of the danger and hazards associated with riding motorcycles and that such
        activities may cause serious injury or death;
    • I am duly licensed and competent to operate a motorcycle in a safe manner, and the vehicle is in a safe
        operating condition;
    • I will be riding on public highways and am solely responsible to determine the speed and operational
        characteristics of my motorcycle while participating in, riding to, or returning from, any Baltimore
        Yehudim Riders (BYR) event, ride, rally, tour, meet-up, etc;
    • I am licensed to operate a motorcycle and always carry motorcycle liability insurance as required by law;
    • I have no known physical or mental impairment that may affect my safety or the safety of the group;
    • The choice of wearing a helmet or other protective gear is solely my own and that I am responsible for my
        compliance with all state laws, including those regarding helmets;
    • I am not under the influence of any narcotic, alcohol or other drug that may impair my understanding or
        judgment to safely operate a motorcycle;
    • This waiver and release is in full force and effect until _____________________ and covers any and
        all activities.

       I DO HEREBY RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS AND AGREE
       THAT MY DEPENDENTS, HEIRS, SUCCESSORS, EXECUTORS AND ASSIGNS DO
       RELEASE, WAIVE, DISCHARGE AND HOLD HARMLESS AGAINST, AND
       INDEMNIFY BALTIMORE YEHUDIM RIDERS (BYR), ITS CO-FOUNDERS, OFFICERS,
       DIRECTORS, AND MEMBERS FROM ANY AND ALL CLAIMS, WHETHER CIVIL OR
       CRIMINAL, INCLUDING CLAIMS OF DEATH, BODILY INJURY, ILLNESS,
       PROPERTY DAMAGE OR LOSS, HOWEVER CAUSED, ARISING FROM OR RELATED
       TO A BALTIMORE YEHUDIM RIDERS MOTORCYCLE RIDE, RALLY, EVENT,
       TOUR, MEET-UP, ETC, EVEN IF ARISING FROM THE FAILURE TO ACT OR
       NEGLIGENCE OF THE RELEASEES OR OTHERS.

       Signature _________________________________ Date ____________________
       Print name _______________________________ Phone # ( ) _____________
       Drivers license number ____________________________ State ________________
       Motorcycle insurance carrier _________________________ Policy # _____ _______

       The following information is VOLUNTARY and is used for emergency purposes only:
       Emergency Contact: ______________________Relationship: ___________________
       Contact Telephone Number: ___________________




       Baltimore Yehudim Riders LLC Rider Release Form v1.2/11-08

				
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