We, the undersigned, for ourselves, our administrators, executors by rpv32164

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									                        Indy Miata Club - Waiver of Liability

We, the undersigned, for ourselves, our administrators, executors, descendants, ancestors,
dependents, heirs and assigns, do hereby release and forever discharge the Indy Miata
Club, together with its predecessors, successors, officers, members, agents, employees
and assigns, from any and all claims, causes of action, claims for relief, damages and
demands, of whatsoever kind or nature, which we had, now have or may hereafter have,
arising directly or indirectly out of or in any way connected with our participation in
this____________________________________, organized or sponsored by the Indy
Miata Club on this __________ day of __________________, 20______.

We affirm that we have and maintain all necessary licenses required by our state of
residence for the lawful operation of a motor vehicle. We further affirm that we have
insurance in such amounts and covering such risks as is required for the lawful operation
of a motor vehicle by the State of Indiana or the state in which we reside.



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________                    __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________                    __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________                    __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________                    __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________                    __________________________
Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________



Driver Name_______________________ Navigator Name_______________________

Signature(s) _______________________         __________________________

								
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