DriveSafe DSD Waiver

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Defensive Skills Day Course

INDIVIDUAL RELEASE, INDEMNITY, AND ASSUMPTION OF RISK AGREEMENT

In consideration for being permitted access to and use of the parking lot in association with DriveSafe Driving Schools located at:
☐ JeffCo Stadium (500 Kipling St, Lakewood, CO 80226)
☐ WaterWorld (8801 N Pecos St, Federal Heights, CO 80260)
☐ Dick’s Sporting Goods Park (6000 Victory Way, Commerce City, CO 80022)
☐ Greenwood Community Church (5600 E Belleview Ave, Greenwood Village, CO 80111)
☐ Chaparral High School (15655 Brookstone Dr, Parker, CO 80134)
☐ Other (Please print location and address) ______________________________________________________________

I acknowledge and voluntarily agree to each of the following:


A. Assumption of Risk. I fully understand that my or my student’s (Named:______________________) presence at or participation
in any activity at the above noted location may not only involve risk of serious injury or death, economic loss, property damage or
loss that may result from my own or his/her actions, inactions or negligence, but also from the actions, inactions or negligence of
others and/or the condition of the property, and I voluntarily agree to assume this risk.
B. Release/Covenant Not to Sue. I and my student and any personal and legal representatives, heirs, successors and next of kin
shall forever release, waive, discharge, and relinquish any claim of liability against Baron Investments LLC dba DriveSafe Driving
Schools or Baron Education or any of their principals, affiliates, sponsors, volunteers, agents, officials, employees, successors, and
assigns from any and all actions, causes of action, claims, charges, demands, losses, damages, costs, attorney’s fees, judgments,
liens, indebtedness and liabilities of every kind and character, whether known or unknown, including foreseen or unforeseen bodily
injury and personal injuries and property damage that may be sustained by myself, my student or any other person in any way
connected to, related to, or arising out of my or his/her presence at or participation in any DriveSafe activity, regardless of any
negligence of DriveSafe Driving Schools.
C. Indemnification. I and my student and any personal and legal representatives, heirs, successors and next of kin shall forever agree
to defend, hold harmless, and indemnify Baron Investments, LLC dba DriveSafe Driving Schools, Baron Education or any of their
principals, affiliates, sponsors, volunteers, agents, officials, employees, successors, and assigns from any liability in any cause of
action in law or equity which may be asserted against any of them for any act or omission arising out of my or his/her presence at or
use of the above noted location.
D. Insurance. I agree to act as my own or my student’s insurer against all hazards and acts of any negligent person, understanding
that my personal insurance may not cover the activities in which I or my student participate while at the Defensive Skills Day and as
contemplated by this release and indemnification.

I have carefully read this Release and Waiver of Liability and Assumption of Risk Agreement and fully understand its
contents. This Agreement shall be contractual, and should any part be invalidated by a court of law; the remaining parts shall remain
in full force and effect. I am aware that by signing I have given up substantial rights, and I am signing the Agreement voluntarily. I
acknowledge that there is no obligation to participate or have my student participate in any activity or to sign this Agreement, but I
desire to do so. I certify that I am at least eighteen years of age.
Date Executed:
Print Name: Signature:

Address: City: Zip Code:

Telephone #:

Emergency Contact Name: Emergency Phone #:

If under 18 years of age parent or guardian must sign this agreement:


Print Parent or Guardian Name: Signature

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