Indy500 Racing Event Release Form

INDY500 RACING EVENT RELEASE FORM

Event Organizer:   Organizer Address:

Participant Name:   Participant Address:

Date of Birth:   Phone:   Email:

RECITALS

WHEREAS, Event Organizer operates and conducts the motor racing event known as the Indy500 and associated track activities, practice sessions, pit access and promotional presentations (the "Event"); and

WHEREAS, Participant desires to participate in certain Event activities and to receive access to restricted areas and facilities in connection with the Event; and

WHEREAS, the parties intend by this agreement to allocate responsibilities, establish payment terms where applicable, and to obtain Participant's release of certain claims, indemnification obligations, and related authorizations.

SCOPE OF WORK / PARTICIPATION

Participant shall participate in the following activities, in the manner and for the duration described below. Participant acknowledges that participation may include high-speed driving, proximity to moving vehicles, exposure to loud noise and airborne debris, and other inherent hazards.

PAYMENT TERMS

Participant shall pay Event Organizer the consideration set forth below for any paid services, reserved paddock access, vehicle parade laps, or other fee-based privileges.

TERM AND TERMINATION

This Agreement commences on the Start Date set forth below and terminates on the End Date below unless earlier terminated in accordance with the provisions herein. Either party may terminate for cause upon written notice as provided in this section.

Start Date:   End Date:   Notice Period for Termination:

Upon termination Participant shall immediately cease access to restricted areas, return credentials and property of Event Organizer, and remain responsible for payment of any fees earned or due through the date of termination.

ASSUMPTION OF RISK, RELEASE AND INDEMNIFICATION

Participant acknowledges that participation in racing-related activities involves inherent and other risks, including serious bodily injury, permanent disability, paralysis, and death, and damage to property. Participant freely and expressly assumes and accepts all such risks.

In consideration of being permitted to participate, Participant hereby releases, waives, discharges and covenants not to sue Event Organizer, its affiliates, officers, directors, employees, agents, volunteers and contractors (collectively, "Released Parties") from any and all liability, claims, demands, actions or causes of action arising out of or related to any loss, damage or injury, including death, that may be sustained by Participant, whether caused by the negligence of the Released Parties or otherwise, to the fullest extent permitted by law.

Participant further agrees to indemnify, defend and hold harmless the Released Parties from any loss, liability, damage or cost, including reasonable attorneys' fees, arising out of Participant's breach of this Agreement or Participant's negligent or willful acts or omissions during the Event.

I acknowledge the Assumption of Risk, Release and Indemnification clauses above and agree to be bound thereby.

MEDICAL AUTHORIZATION

In the event of injury or medical emergency, Participant authorizes Event Organizer and its representatives to arrange for emergency medical treatment and transport. Participant is responsible for all costs of such treatment.

I consent to emergency medical treatment as described above.

PHOTO AND MEDIA RELEASE

Participant grants Event Organizer the perpetual, royalty-free right to photograph, record, use and publish Participant's image, voice and likeness in any media for promotional, commercial or informational purposes without further compensation, subject to applicable law.

I grant the Photo and Media Release set forth above.

CONFIDENTIALITY

Participant may receive certain non-public or proprietary information in connection with the Event. Participant shall not disclose such confidential information except as required by law and shall use reasonable measures to protect such information from unauthorized disclosure.

I agree to the Confidentiality obligations above.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to choice of law principles.

ENTIRE AGREEMENT

This Agreement, together with any written schedules or exhibits executed by the parties, constitutes the entire agreement between Event Organizer and Participant with respect to the subject matter herein and supersedes all prior and contemporaneous negotiations, understandings and agreements, whether written or oral. Any modification must be in writing and signed by both parties.

ADDITIONAL INFORMATION

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