New Membership Application Form
FAQ:
Who should apply? Exotic car owners in the North East Region.
FAQ:
Is this the proper form to RSVP for an event? No this form is to get pre-approved for membership.
FIRST NAME:
LAST NAME:
Email Address:
Mobile Phone:
Street Address:
Town:
State:
Zip Code:
How did you hear about SupercarRoadTrips?
How many exotics do you own?
1
2
3
4
5
6
7
8
9
10
10+
Please enter vehicle information in the following format:
[Year, Make, Model, Color, State of Registration, License plate number]
Vehicle 1:
photo:
Vehicle 2:
photo:
Vehicle 3:
photo:
Vehicle 4:
photo:
Should you have more than 4 exotics, please submit multiple applications.
Please read these terms clearly:
I understand that SupercarRoadTrips.com is a private club and has the right to refuse. I understand that SupercarRoadTrips does not tolerate speeding beyond the maximum posted speed limits. During the rally, you must stay behind the designated lead vehicle. Passing the lead vehicle will result in the termination of your membership & you will be asked to leave from the event. At the registration booth I will also sign a printed copy of the below waiver form prior to my participation. In consideration of being allowed to participate in any way in any road rally: I understand and agree that, although I have been supplied with certain information on the prescribed rally course, the nature of the rally does not permit me to inspect the prescribed course or any portion of the prescribed course or the immediately adjacent areas thereof which I may come in contact during the rally prior to my participation in the rally. I understand and agree that, if at any time, I feel anything to be unsafe, I will immediately take all necessary precautions to avoid the unsafe area and refuse to participate further in the rally. I understand that participation in the rally involves risks and dangers both known and unknown, of serious bodily injury, including permanent disability, paralysis, death, and property damage. I assume full responsibility for any and all such risks of bodily injury or death to myself, or of property damage to my property arising out of or related to my participation in the rally, even if caused, in whole or in part, by the negligence of the ÒreleasesÓ named below. I hearby release, waive, discharge and covenant not to sue the promoters, participants, officials, car owners, drivers, crew members, rescue personnel, sponsors, advertisers, owners and lessees of premises used to conduct the rally, premises and event inspectors, surveyors, underwriters, consultants, and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or rally and each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as ÒReleasees,Ó from all liability to me, my personal representatives, assign, heirs, and next of kin for any and all loss or damage, any claim or demands therefor on account of injury to me or my property resulting in my death arising out of or related to my participation in the rally, whether caused by the negligence of the releases or otherwise. I hereby agree to defend, indemnify and save and hold harmless the releases and each of them from any loss, liability, damage, or cost that may incur due to claims brought against the releases arising out of my injury or death while I am participating in the rally and whether caused by the negligence of the releasees or otherwise. I hear-by agree that this agreement shall be binding and enforceable against me, my personal representatives, agents, spouse, assign, heirs, and next of kin without limitation. I have read this release and waiver of liability, assumption of risk and indemnity agreement, understand its terms, and understand that I have given up substantial rights by signing it, and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extend allowed by law.
I have carefully read and agree to the above terms.