PWDA Helmet Release Form


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            PWDA Helmet Release Form
            Phil Wicks Driving Academy
            HELMET ACKNOWLEDGEMENT AND RELEASE
             
             
            I/We acknowledge that the inspection of my helmet by members of the 
            Phil Wicks Driving Academy is for the sole purpose of determining 
            whether my helmet has met the minimum standards of the Snell 
            Memorial Foundation and that it appears from a visual inspection to 
            contain appropriate Snell rating sticker of 1995 or newer, and to be 
            capable of meeting those standards at the present time.  I 
            acknowledge that Phil Wicks Driving Academy is making no guarantee 
            of fitness for use in “passing” my helmet, and that I am relying 
            solely on my own judgement in using the helmet in a Phil Wicks 
            Driving Academy event.  I release, acquit, and forever discharge the 
            Phil Wicks Driving Academy, its officers, members, employees, 
            lessors, associates, successors,  or assigns, from an and all 
            liability, claims, demands or causes which may arise from my wearing 
            the inspected helmet, from my attendance at a Phil Wicks Driving 
            Academy event, or from any injury sustained by me, whether or not 
            due to their negligence.
             
            I represent that I am over the age of 18 years (or if between 16 and 
            18, I have signed a Minor Release Waiver) that I understand that I 
            am participating in a dangerous event, and that my helmet has not 
            previously been worn in a collision or struck by a hard object.
             
             
             
            Date:___________________________         Signed 
            by:___________________________
                                                                                 
                                       (Participant)
             
                                                                                 
               Signed by:___________________________
                                                                                 
               (Phil Wicks Driving Academy representative)






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