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Liability Release - Required to participate

Please PRINT, SIGN, and Present this upon arrival

To participate in the MINI’s Making a Difference aka MINISMD, Fill-a-MINI, or other MINIs MD sanctioned eventsthis form must be signed by the participating driver and it is understood that in signing this release you are also signing on behalf of and taking responsibility for your passengers.

THIS MUST BE SIGNED BY THE PARTICIPATING DRIVER AND COVERS YOU AND YOUR PASSENGERS

LIMITATION of LIABILITY - MINI’S Making a Difference, the Scales Family, the organizers and volunteers of the Fill-a-MINI event, and any sponsor, organizer, volunteer, or participant in this event assume no responsibility or liability, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with your participation in this event. Your signature confirms that it is understood and accepted that Steven W. Scales and family, and all MINI’s Making a Difference volunteers are organizing this Fill-a-MINI event at your request and are doing so without monetary compensation. No vehicle will be allowed to participate in the drive unless MINISMD has received a signed release prior to the commencement of the event. Your signature below confirms that you and your vehicle’s occupants agree to the above statement.

Your Name Printed

_______________________________________________________

Your Signature

_______________________________________________________

Today's Date

_______________________________________________________

Signed and Acknowledged

Please remember that the MINISMD, Fill-a-MINI and other sanctioned events are a family oriented gathering.

Rules of conduct include safe driving practices, following local road rules, and speed limits.

Please use proper language and discretion when speaking on two-way radios as some MINI’s do have children.

Despite all the disclaimers and warnings: LET”S MOTOR!

Thanks for your support of this Charity and this event!