Fill and Sign the Release Waiver Liability Form

Release and Waiver of Liability Regarding Repair of Automobile – Repairs for Off Road Travel Only Release executed on ________________ (date) , by _________________ (name) of ____________________________________________________________________________ (street address, city, state, zip code) herein referred to as Releasor , in favor of ___________________ (name) of ________________________________________________ _____________________________ (street address, city, state, zip code) herein referred to as Releasee . Whereas, Releasee operates an automotive repair facility at the address set forth above; and Whereas, Releasor has requested Releasee to make certain repairs to the automobile of Releasor, hereinafter called Vehicle ; and Whereas, due to the enhancements to the Vehicle that Releasor is requesting, said enhancements being more particularly described in Exhibit A attached hereto and made a part hereof by reference, Releasee can not and will not guarantee the safety of the results of the repairs if Vehicle is used for any purpose other than off road use, nor any damages or injuries that occur as a result of operating the Vehicle for any purpose other than use as an off road Vehicle; Now, therefore, for and in consideration of making such repairs requested by Releasor Releasor , and other good a valuable consideration, receipt and sufficiency of which is hereby acknowledged, Releasor, hereby releases, waives and discharges Releasee, his employees, officers, agents, owners and/or assigns (hereinafter jointly and severally called Releasees), from all liability to the Releasor, his spouse, legal representatives, heirs and assigns, for any and all loss or damage, and any claim or damages resulting therefrom, on account of the repairs made by Releasees to the Vehicle of Releasor, resulting directly or indirectly from the use of said Vehicle in any way other than as an off the road vehicle. Releasor agrees to indemnify, defend, and hold free and harmless Releasees from and against any and all actions, claims, liabilities, assertions of liability, losses, costs, and expenses arising from the performance of this Agreement by Releasees , including, but not limited to, attorney fees, reasonable investigative and discovery costs, and court costs, which in any manner may arise or be alleged to have arisen, or resulted, or alleged to have resulted, from the use of said Vehicle in any way other than as an off the road vehicle. The invalidity of any portion of this Agreement will not and shall not be deemed to affect the validity of any other provision. If any provision of this Agreement is held to be invalid, the parties agree that the remaining provisions shall be deemed to be in full force and effect as if they had been executed by both parties subsequent to the expungement of the invalid provision. This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of _____________. Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. In this Agreement, any reference to a party includes that party's heirs, executors, administrators, successors and assigns, singular include plural and masculine includes feminine. WITNESS our signatures as of the day and date first above stated. ________________________ _________________________ (P rinted name) (P rinted name) ________________________ _________________________ (Signature of Releasor) (Signature of Releasee)