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The undersigned (on my own behalf and on behalf of my heirs, personal representatives, successors, and assigns), for and in consideration of the opportunity to participate in a “Ride,” “Poker Run,” “Rally,” “Field Meet,” or “Activity” (hereinafter, "EVENT(S)") sponsored and/or conducted by Harley-Davidson, Inc., Harley-Davidson Motor Company, the Harley Owners Group®, authorized Harley-Davidson Dealer(s), and/or local H.O.G.® chartered Chapter(s), and their respective officers, directors, employees, and agents (hereinafter, the "RELEASED PARTIES"), hereby release and hold harmless the "RELEASED PARTIES" from any and all claims, demands, rights, and causes of action of any kind whatsoever which I now have or later may have against the "RELEASED PARTIES" in any way resulting from, arising out of, or in connection with the performance of their Chapter duties and my participation in any said EVENT(S).

This Release extends to any and all claims I have or later may have against the "RELEASED PARTIES" resulting from or arising out of their performance of their Chapter duties, whether or not such claims result from negligence (except willful neglect) on the part of any or all of the "RELEASED PARTIES" with respect to the EVENT(S), the conditions, qualifications, instructions, rules, or procedures under which the EVENT(S) are conducted, or from any other cause. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE ANY OR ALL OF THE "RELEASED PARTIES" FOR ANY INJURY TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH, THE PERFORMANCE OF THEIR CHAPTER DUTIES IN SPONSORING, PLANNING, OR CONDUCTING THE EVENT(S). I am experienced in and familiar with the operation of motorcycles and fully understand the risks and dangers inherent in motorcycling. I am voluntarily participating in the EVENT(S), and I expressly agree to assume the entire risk of any accidents or personal injury, including death, which I might sustain to my person and property as a result of my participation in the EVENT(S), and any negligence (except willful neglect) on the part of any or all of the "RELEASED PARTIES" in performing their Chapter duties.

WAIVER OF RIGHTS UNDER STATE STATUTES

I further agree to waive all benefits flowing from any state statute which would negate or limit the scope of this release and indemnification agreement, including but not limited to Section 1542 of the California Civil Code, which provides:
"A general release does not extend to the claims which the creditor does not know or suspect to exist in his favor at the time of executing this release, which if known to him must have materially affected his settlement with the debtor."
By signing this Release, I certify that I have read this Release, fully understand it, and that I am not relying on any statements or representations made by the "RELEASED PARTIES."

Rider

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Passenger

Address
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