INDIAN MOTORCYCLE RIDERS GROUP

CHAPTER No #1990
RIDERS RELEASE FORM

I have read the Chapter Membership Agreement and agree to abide by it as a member.

I have read the Chapter Membership Agreement and agree to abide by it if I am a nonmember.

I recognize that while this Chapter is chartered with Indian Motorcycle Riders Group®, it remains a separate, independent entity solely responsible for its actions.

THIS IS A RELEASE. READ CAREFULLY BEFORE SIGNING

I agree Indian Motorcycle Riders Group (IMRG), Indian Motorcycle® Company, Polaris Industries Inc., my Chapter, and each of their respective affiliates, officers, directors, employees, agents, volunteers, successors, and assigns (the “Released Parties”) will not be liable or responsible for injury to me (including serious injury or death) or damage to my property occurring during any Indian Motorcycle Riders Group activities. I understand and agree that all Indian Motorcycle Riders Group members and their guests participate voluntarily and at their own risk in all Indian Motorcycle Riders Group activities. I assume all risks of injury and damage related to my participation in those activities. These risks include serious injury and/or death caused by loss of vehicle control, vehicle mechanical failures, dangerous or improperly maintained roads, improperly selected routes, my negligent acts, the negligent acts of other riders, and the potential negligence of the Released Parties, including the failure to warn against or protect me from these risks adequately.

I agree to waive to the fullest extent allowed by law any claims of any kind that I have or may in the future have relating to Indian Motorcycle Riders Group activities, whether directly or by subrogation or otherwise, against the Released Parties, and to release, defend, hold harmless and indemnify the released parties from any liability for any liability, loss, damage, expense or injury (including death) that I or my next of kin may incur resulting from my participation in such activities. I understand that this waiver and release does not extend to intentionally wrongful acts on the part of the Released Parties.

I expressly waive any benefits I may have under any law that provides that a general release does not extend to claims that I do not know of or suspect exist, which, if I knew them, may have materially affected my decision to sign this release.

This agreement shall be governed by Iowa/Illinois law, regardless of its choice of law rules. Any dispute or claim relating to this Agreement or the Event shall be finally resolved by binding arbitration under the United States Arbitration Act in Minnesota.

I HAVE READ THIS RELEASE BEFORE SIGNING IT. I UNDERSTAND THIS RELEASE, AND I AM NOT RELYING ON ANY OTHER STATEMENTS OR REPRESENTATIONS MADE BY THE RELEASED PARTIES. I AM AWARE THAT BY SIGNING THIS RELEASE, I AM WAIVING CERTAIN LEGAL RIGHTS THAT I OR MY NEXT OF KIN MAY HAVE AGAINST THE RELEASED PARTIES.

Information submitted is kept confidential by the Indian Motorcycle Riders Group of #1990 and not shared with anyone

*Any information collected is solely used to communicate about future events and to connect with you.