Infiniti Driving Experience Amelia Island, FL - Before Drive
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Thank you for being a part of the Infiniti Driving Experience. Please complete the questions on the following pages before continuing with your experience.
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PLEASE READ THE ENTIRE FORM BY SCROLLING DOWN

RELEASE OF LIABILITY AND INDEMNITY AGREEMENT AND PUBLICITY AUTHORIZATION

I hereby agree to participate in the “Event” to be held in Amelia Island, FL in March 2015, and, on behalf of myself, my family, heirs, personal representatives and assigns, agree to and warrant that:

1) I am eighteen (18) years of age or older and have the right to contract in my own name, I agree to act in a reasonable and cautious manner at all times while participating in the Event as a driver or passenger of an Infiniti Vehicle (the “Vehicle”), and I will use all safety restraint systems at all times while in the Vehicle.
2) If I am a driver in this Event, I represent, warrant, and covenant that I am currently and validly licensed and insured to drive a motor vehicle in the United States.
3) The details of the Event have been fully explained to me, and I have had the opportunity to ask questions. I have no physical or mental impairment, which might make it dangerous for me to participate in the Event.
4) I assume full risk of bodily injury, death or property damage, which I may suffer while at the Event, regardless of the cause or any negligence of a Released Party (defined below).
5) I assume full responsibility for any bodily injury, death or property damage, which I may cause while at the Event, regardless of the cause or any negligence of a Released Party.
6) I will indemnify, defend and hold Infiniti and its authorized dealers; NML and its authorized dealers; George P. Johnson Company, Productions Plus, Inc. and/or Precision Dynamics, Inc.; and each of their respective affiliates, shareholders, directors, officers, employees, agents, successors, and assigns (each a “Released Party” or collectively, the “Released Parties”) harmless from any claims, lawsuits and losses, including without limitation, attorneys’ fees resulting from bodily injury, death or property damage which I may cause to myself or another while at the Event, regardless of the cause or any negligence of a Released Party.
7) I grant to Infiniti and its authorized dealers; NML and its authorized dealers; George P. Johnson Company, Productions Plus, Inc. and Precision Dynamics, Inc.; and each of their respective agents and assigns, the absolute right and permission to use, publish and/or broadcast, worldwide, in perpetuity, my name, voice, likeness, picture, photograph and video, in whole or in part, or composites or distortions in character or form, in conjunction with my name, together with or without written or spoken copy (the “Materials”) for advertising, promotional, publicity, public relations purposes in any media including print, television and online media.
8) I understand I have no right to inspect or approve the finished Materials prior to use. I understand and agree that I will not be paid for use of any Materials.
9) I hereby release, discharge and agree to hold harmless the Released Parties from any liability, claim or cause of action caused by, or arising by virtue of (i) bodily injury, death or property damage which I may suffer while at the Event, regardless of the cause or any negligence of a Released Party, and (ii) any use of the Materials, including but not limited to any liability for claims of defamation or invasion of privacy.
10) I understand that this entire Agreement is to be interpreted as broadly as possible in favor of the Released Parties. This Agreement shall be interpreted under the laws of the State of Tennessee. Any litigation will be brought in the courts of the State of Tennessee.
11) By signing below, I acknowledge that I am also agreeing to receive a ‘thank you’ email with a link to the ‘my drive details’ webpage an optional survey and the opportunity to ‘opt in’ to receive further communications from Infiniti.
12) FOR CALIFORNIA LOCATIONS ONLY: In addition, and not by way of limitation to the foregoing, I fully understand and knowingly and expressly waive my rights and benefits under Section 1542 of the California Civil Code or under any analogous federal or state law or regulation. Section 1542 of the California Civil Code states that:

A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his settlement with the debtor.


PLEASE CHECK THE BOX BELOW IF YOU AGREE. A SIGNATURE WILL BE CAPTURED ON THE NEXT SCREEN.
 
 
 
 
* I HAVE READ AND UNDERSTOOD THIS ENTIRE AGREEMENT. I AM VOLUNTARILY SIGNING THIS AGREEMENT ELECTRONICALLY. NO ONE HAS MADE ANY ORAL STATEMENT TO INDUCE ME TO SIGN THIS AGREEMENT. I REALIZE THAT BY SIGNING THIS AGREEMENT, I AM GIVING UP MY RIGHT TO SUE THE RELEASED PARTIES FOR INJURY, DEATH OR DAMAGE I MAY SUFFER AT THE EVENT. IF ANY COURT FINDS A PORTION OF THIS AGREEMENT TO BE INVALID, THE REMAINDER OF THE AGREEMENT WILL NOT BE AFFECTED.
 
 
Please complete each area below. Use the pop-up keyboard and press "Next" to move to the next field.
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
    * State     * Zip
Cell Phone : 
 
 
I wish to have Infiniti or its Retailers contact me by phone. Providing a telephone number, verifies this is your number and you consent to receive telemarketing calls via auto-dialer or pre-recorded messages regarding product offer by Infiniti. You understand that consent is not required to make a purchase.
Home Phone : 
 
 
If you would like to receive product news and announcements electronically from Infiniti, please provide your e-mail address.
Email Address : 
 
 
 
I have requested that the minor(s) listed below be allowed to accompany me as a passenger in the Event. I certify that (i) the person(s) listed below my signature are minor(s); (ii) the full legal name of the minor(s) are accurate as set forth below; (iii) I am the parent or legal guardian of the minor(s) listed below. In consideration for allowing the minor(s) to participate, I agree that the terms of the Agreement above shall likewise bind the minor passengers and their respective family, heirs, personal representatives, and assigns. I hereby release and agree to indemnify, on behalf of each minor listed below, the Released Parties from and against any and all liability arising out of the participation of the minor(s) in the Event. Please type in all of the names for the Passengers on the next page.
 
 
 
Passenger 1
   
Passenger 2
   
Passenger 3