Corporate Office: K1 SPEED, INC.

17221 Von Karman Ave,

Irvine, CA 92614 EXPRESS ADULT LIABILITY
(888) K1-KARTS WAIVER FORM
CHILDS EXPRESS ASSUMPTION OF RISK, COMPLETE WAIVER AND AGREEMENT NOT TO SUE, AND INDEMNITY AGREEMENT
* Required

Date* Birth Date*

Participant’s Full Name* Phone*

Driver’s License # (optional) Email Address (optional)

READ THIS CAREFULLY- IT AFFECTS YOUR LEGAL RIGHTS

ADULT WAIVER - EXPRESS ASSUMPTION OF RISK, COMPLETE WAIVER AND AGREEMENT NOT TO SUE, AND INDEMNITY AGREEMENT.
In return for the license to use the K1 Speed, Inc. property, its facilities and services (the “Facilities”) of K1 Speed Inc. or any owned or affiliated facilities (as well as any other persons
or entity related thereto) and/or its subsidiaries and affiliates (“OPERATOR”), the undersigned (“PARTICIPANT’), for themselves, their heirs, assigns and legal representatives, hereby
expressly agrees:
1. TO ASSUME ANY AND ALL RISKS INVOLVED IN OR ARISING FROM PARTICIPANT’S USE OR PRESENCE UPON THE FACILITIES, including, without limitation, the risks of
death, bodily injury, or property damage resulting from: collision between his or her vehicle and another vehicle, a person, object, or barrier; the kart driving or wedging under the
barrier, going through the barrier, the barrier riding up the front of the kart due to additional impacts or acceleration, or the mechanics of the crash; the barrier landing on any part of the
participant’s person or contact between the barrier and the participant’s upper or lower extremities or any part of the participant’s body, whether exposed inside or outside of the kart;
skidding; overturning; sudden stops; braking or acceleration; fire; explosion; the unavailability of emergency medical care; or the negligence or deliberate acts of another person.
2. TO RELEASE OPERATOR, Franchisers and all successors, assigns, subsidiaries, branches, operators, franchisees, affiliates, officers, directors, employees, sellers, suppliers,
manufacturers, agents, vendors, contractors, tenants, landlords, and sponsors from, and not to sue them on account of or in connection with, any claims, causes of action, injuries,
damages, costs, or expenses arising out of PARTICIPANT’S use of or presence upon the Facilities, including without limitation, those based on death, bodily injury, or property damage,
whether or not caused by the negligence or other fault of OPERATOR, including strict product liability or any other liability without fault.
3. TO RELEASE OPERATOR, and other parties identified in paragraph 2 and owners of the facilities (“OWNERS”) of any and all responsibility to PARTICIPANT and agrees to
indemnify and hold harmless OPERATOR and OWNERS against any and all damages or injuries arising out of the use of the Facilities by any party, including other participants and the
negligent acts of OPERATOR, PARTICIPANT, or other participants.
4. TO INDEMNIFY AND DEFEND OPERATOR, against and hold harmless from any and all claims, causes of action, damages, judgments, costs, or expenses, including attorney’s
fees, which in any way arise from PARTICIPANT’S use or presence upon the Facilities.
5. TO PAY for any and all damages to the Facilities caused by PARTICIPANT, negligently, willfully, accidentally, or otherwise; and
6. That by participating in the events or utilization of the facilities of the OPERATOR, I acknowledge that I fully understand the significant inherent dangers of driving and/or racing
vehicles offered to PARTICIPANT and I further acknowledge that I will read and comply with the safety rules provided to me in writing for driving such vehicles (and if I do not
understand any point or part of the safety rules, I will advise OPERATOR and request further assistance so that I may fully understand them before using the Facilities). I agree that
I will not participate in any events or utilize the facilities if I am under the influence of drugs or alcohol, if I am pregnant, or if there is any other physical condition that may impair my
ability to understand instructions or to participate without creating risk to others or myself.
7. K1 Speed, as OPERATOR, seeks advance the dignity, equality, and self-determination of people with disabilities. Persons with disabilities who are present upon the premises are
included within the definition of PARTICIPANTS in this Agreement, and are such PARTICIPANTS are subject to the waiver of their same rights herein, including but not limited to the
same claims, causes of action, damages, judgments, costs, or expenses, including attorney’s fees, which in any way arise from PARTICIPANT’S use or presence upon the Facilities.
This waiver includes any and all risks set forth in this written agreement and any and all claims, injuries or damages a PARTICIPANT may suffer using a specially modified go-kart or
if the PARTICIPANT suffers an injury in relation to the use of the premises or any of the equipment thereon, or by virtue of any reasonable accommodations that have been extended
to PARTICIPANT. OPERATOR does not assume any responsibility and does not waive its rights with respect to express liability or PARTICIPANT’s voluntary assumption of the risk for
offering PARTICIPANT’s any specially modified equipment at the premises.
8. As a PARTICIPANT at the facility, I agree not to operate a kart or participate in a race while under the influence of an alcoholic beverage and I agree to hold OPERATOR harmless
and release OPERATOR from any and all liability regarding any injuries sustained by my conduct or actions while at the facilities that arise from any consumption of alcohol beverage or
other substance.

I HAVE READ THIS AGREEMENT. I UNDERSTAND THAT BY MAKING THIS AGREEMENT I SURRENDER VALUABLE RIGHTS. I DO SO FREELY AND VOLUNTARILY. I
FURTHER CERTIFY THAT I AM OF LAWFUL AGE, NOT PREGNANT, AND LEGALLY COMPETENT TO SIGN THIS AGREEMENT. I UNDERSTAND THAT THE TERMS HEREIN
ARE CONTRACTUAL AND NOT A MERE RECITAL.I HAVE SIGNED THIS AGREEMENT ON MY OWN FREE WILL AND IF I HAVE ANY DOUBTS CONCERNING THE CONTENTS
OF THIS AGREEMENT, I WILL CONSULT AN ATTORNEY BEFORE SIGNING IT.

BY SIGNING THIS AGREEMENT, I AGREE THAT I HAVE READ THE ABOVE STATED, UNDERSTAND ITS TERMS, AND AGREE TO BE BOUND BY THOSE TERMS INCLUDING
THE TERMS WHICH SIGNIFICANTLY LIMIT MY LEGAL RIGHT TO SUE. I UNDERSTAND AND ACKNOWLEDGE THAT I AM ASSUMING THE RISK OF INJURY RELATING TO
THE ACTIVITY AT K1 SPEED AND ACKNOWLEDGE THAT GO-KART RACING CAN RESULT IN INJURY OR DEATH AS A RESULT OF COLLISIONS AND CONTACT WITH
OTHER THINGS INCLUDING BUT NOT LIMITED TO, PERSONS, KARTS, BARRIERS, FIXED OBJECTS, AND THE GROUND.

K1 Speed may send you an email notification at the time your race account is created. This notice includes a welcome message and your race results. These emails are not part of
K1 Speed’s email newsletter subscription program you registered for at your time of initial registration. Note that if you receive any unwanted email notifications you may opt-out by
unsubscribing by following the link below or notifying the front desk of the race center. You also may opt out of all K1 Speed’s messages by following the opt-out procedure.
[Link]

Participant Signature* Date* REV0220