National HOG Number
National HOG Number Expiry Date
I, the undersigned, (on my own, and on behalf of my heirs, personal representatives, successors, and assigns), for and in consideration of the opportunity to be a H.O.G.® Chapter member and participate in H.O.G.® Chapter events and related activities do hereby irrevocably release and forever discharge, Harley-Davidson Canada LP, Harley Davidson Motor Inc., their worldwide subsidiaries and affiliates, the Chapter, the Sponsoring Dealer and any other organizers, agents, representatives, successors, and assigns (all being collectively referred to hereafter as "RELEASED PARTIES"), from any and all claims, demands, damages, rights, actions, causes of action, suits, debts, contracts, interest, costs, expenses of any kind whatsoever, which I now have or later may have against the RELEASED PARTIES howsoever arising, directly or indirectly, whether known or unknown, in law or in equity, in any way in any resulting from, arising out of, or in connection with my participation in any and all H.O.G.® or H.O.G.® Chapter events or activities (the "ACTIVITIES").
Without limiting the foregoing, this Release extends to any and all claims I have or may have against the RELEASED PARTIES, whether or not such claims result from strict liability or negligence on the part of any or all the RELEASED PARTIES, or from any action or inaction on my part, during the ACTIVITIES, with respect to the conditions, qualifications, instructions, rules or procedures under which the ACTIVITIES 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.
In consideration of my being allowed to participate in the ACTIVITIES, I agree to indemnify and hold harmless the RELEASED PARTIES from any and all liability, claims, causes of action, demands, damages, or any other forms of relief which might be made against any or all of the RELEASED PARTIES whatsoever, howsoever arising, directly or indirectly, out of, or in consequence of, my attendance at, or participation in, the ACTIVITIES.
I hereby warrant and represent that: In the event that I am operating a motorcycle during the ACTIVITIES, I am experienced in and familiar with the operation and riding of motorcycles and I hold a valid motorcycle operator’s license (Ontario Class “M or M2” license or provincial equivalent), or in the event that I am a passenger on a motorcycle during the ACTIVITIES, I am experienced in and familiar with being a passenger on motorcycles: I fully understand the risks and dangers of inherent in motorcycling; and I am the age of majority in the Province or Territory that the ACTIVITIES are located in. I am voluntarily participating in the ACTIVITIES and I expressly agree to assume the entire risk of any accident, personal injury, including death, damage to property, or any other harm which I may suffer as a result of my participation in the ACTIVITIES, notwithstanding any prevailing weather, road, or other conditions and any other factors which may impact or affect in any way the conduct of ACTIVITIES or my participation therein.
BY SIGNING THIS RELEASE, I CERTIFY THAT I HAVE READ THIS RELEASE AND FULLY UNDERSTAND IT AND THAT I AM NOT RELYING ON ANY STATEMENTS OR REPRESENTATIONS MADE BY THE RELEASED PARTIES. I FURTHER UNDERSTAND AND AM AWARE THAT BY SIGNING THIS RELEASE I AM WAIVING CERTAIN SUBSTANTIAL LEGAL RIGHTS, WHICH MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS, AND I MAY HAVE AGAINST THE RELEASED PARTIES EITHER INDIVIDUALLY OR COLLECTIVELY.
AS A MEMBER OF A CHAPTER, I AM FULLY AWARE THAT THERE IS A "ZERO ALCOHOL TOLERANCE POLICY". I UNDERSTAND AND ACCEPT THAT IN CONSUMING ANY ALCOHOL DURING ANY CHAPTER RIDING EVENT OR ACTIVITY, IT WILL NULLIFY MY COVERAGE UNDER THE CHAPTER LIABILITY INSURANCE POLICY. I ACKNOWLEDGE THAT I AM SOLELY RESPONSIBLE AND ACCOUNTABLE AS AN INDIVIDUAL, FOR MY ACTIONS, AND HERBY AGREE TO ADHERE TO THIS POLICY DURING THE COURSE OF ANY CHAPTER RIDING EVENT AND ACTIVITY IN WHICH I AM A PARTICIPANT.
CONSENT TO RECEIPT OF COMMERCIAL ELECTRONIC MESSAGES FOR CANADA'S ANTI SPAM LEGISLATION:
By providing my email address above and checking the box below, I agree to receive communications, including electronic communications, from Harley-Davidson Canada LP, carrying on business as Harley Owners Group® of Canada, Harley-Davidson Motor Company Inc., their worldwide affiliates, and assignees, authorized Canadian Harley-Davidson® dealer and other vendors (collectively the "Users") regarding Harley-Davidson branded products, services, programs, contests, and promotional offers. I understand that I may withdraw my consent at any time by contacting the CASL Officer at 1(888) 603-9312 OR 830 Edgeley Blvd. Concord, ON L4K 3X1.
Do you agree to receive electronic communications?
Yes, I agree to receive electronic communications.No, I do not agree to receive electronic communications.
PRIVACY AND MARKETING CONSENT:
By completing this application and Release I recognize and understand that Harley-Davidson Canada LP is collecting my personal for itself and on behalf of the Users. I understand that they may disclose my personal information among them, and that our personal information may be used by the Users for purposes connected with my HOG® membership and for the general marketing and promotional purposes. I further recognize that the Users may disclose our personal information to third party service providers to deliver services to us that we have requested, such as delivery of publications, or materials about third party programs offered to chapter members and event attendees. I also agree that my personal information may be used to better understand the members and associates’ members and improve the Users’ products and services. I understand that our information may be transferred outside of Canada (whereby it will be treated in accordance with applicable foreign laws) as required for storage and use by the Users. I acknowledge that a file containing my personal information will be maintained in a hard or electronic file at the Users’ premises and will be used for purposes identified above, or other purposes with my consent or as permitted or required by law.
Do you agree to be contacted for marketing and research purposes?
Yes, I do wish to receive communications and be contacted for research purposes.No, I do not wish to receive communications and be contacted for research purposes.
Agree to Terms and Conditions.
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