2006

WEST COAST FOUR WHEEL DRIVE CLUB, INC./USMC TOYS FOR TOTS PROGRAM

TOY DRIVE PRE-REGISTRATION

 

NAME:

DATE:  

 

ADDRESS:

PHONE:

LICENSE:

CITY:

STATE:

ZIP:

VEHICLE MAKE:

YEAR:

 

CLUB AFFILIATION:

 

 

 

      THE ABOVE NAMED PARTICIPANT WILL PROVIDE SEATS AND SEAT BELTS FOR EACH OCCUPANT IN THE STREET LEGAL, LICENSED AND INSURED VEHICLES DESCRIBED ABOVE.  ALL SPEED AND TRAFFIC LAWS WILL BE OBSERVED.

        I UNDERSTAND THAT ANY DECORATIONS THAT I MAY PUT ON MY VEHICLE WILL NOT IMPAIR VISIBILITY, OR IN ANY OTHER WAY RENDER SAID VEHICLE UNSAFE TO OPERATE, AND ANY TRAFFIC CITATIONS INCURRED DURING THE EVENT ARE MY SOLE RESPONSIBILITY.

 

SIGNED:

DATE:

 

RELEASE AND INDEMNIFICATION AGREEMENT

 

      FOR GOOD AND VALUABLE CONSIDERATION, THE RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED, I DO HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE THE CALIFORNIA ASSOCIATION OF 4WD CLUBS, UNITED STATES MARINE CORPS, AND WEST COAST FOUR WHEEL DRIVE CLUB, INC., TOGETHER WITH ITS AGENTS, VOLUNTEERS, EMPLOYEES, PARTICIPATING MUNICIPALITIES, LANDLORDS AND THEIR AGENTS, SUMMON AND ASSIGNS FROM ANY AND ALL CLAIMS, ACTIONS, COVERS OF ACTION, DEMANDS, DAMAGES, COSTS, EXPENSES AND LOSS OF COMPENSATION WHICH THE UNDERSIGNED NOW HAS OR WHICH MAY HEREAFTER ACCRUE TO HIM ON ACCOUNT OF OR IN ANY WAY GROWING OUT OF ANY AND ALL KNOWN AND UNKNOWN, FORESEEN AND UNFORESEEN BODILY AND PERSONAL INJURIES AND OR PROPERTY DAMAGE AND WHATEVER OTHER CONSEQUENCES THEREOF RESULTING, OR TO RESULT FORM ANY CASUALTY, ACCIDENT OR EVENT RESULTING FROM DIRECTLY OR INDIRECTLY, MY PARTICIPATION IN THE WEST COAST FOUR WHEEL DRIVE CLUB, INC., TOY DRIVE 2006 HELD IN DECEMBER, 2004, AND FURTHER TO HOLD HARMLESS AND INDEMNIFY USMC AND WEST COAST FOUR WHEEL DRIVE CLUB, INC., FROM ANY AND ALL THIRD PARTY CLAIMS, OF WHATEVER NATURE, RISING OR RESULTING FROM SAID WC4WDC/USMC TOY DRIVE ON THIS DATE.

 

 

 

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PARTICIPANT

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PARTICIPANT