DEJA Membership Registration

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    First Name

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    Please register on the forum before completing this form. (link above)

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    What year is your Jeep (or Jeeps)?

    What model is your Jeep (or Jeeps)?

    In consideration of being permitted to participate in any event sponsored, promoted, or directed by Delaware Jeep Association, the undersigned for himself/herself, his/her personal representatives, heirs and next of kin, HEREBY RELEASES the not for profit organization Delaware Jeep Association, and its officers, directors, promoters, sponsors, members and guests ("releasees") of all liability to the undersigned, whether caused by the negligent act or omission of releasees or otherwise while the undersigned is for any purpose participating in such event.
    It is fully understood by each of the undersigned that there is some inherent risk associated with this event, including damage to vehicles. IN ADDITION, the undersigned AGREES TO INDEMNIFY AND HOLD HARMLESS the releasees from any loss, liability, damage, or cost they incur due to such participation by the undersigned, whether caused by releasees’ negligence or otherwise, and AGREES TO ASSUME FULL RESPONSIBILITY AND RISK for any bodily injury, death, or property damage from releasees’ negligence or otherwise while the undersigned is participating in this event.
    In signing this release, each of the undersigned hereby acknowledges and represents the following:

    1. That he or she has read the foregoing Release and Waiver of Liability and Indemnity Agreement.

    2. That he or she shall at all times, while riding in a vehicle participating in this event, wear his or her respective seat and shoulder belts.

    3. That the owner/driver certifies that he/she has inspected this vehicle and same is in good mechanical condition.

    4. That the owner/driver has informed himself/herself about the event and trail involved in the event, either by prior participation or by investigation into the event and trail.

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