I (and my parent or guardian in case of person(s) under 18 years of age) hereby release the “Northern Illinois Jeep Alliance, Inc.” and any other parties involved in any “Northern Illinois Jeep Alliance, Inc.” activity of any liability whatsoever for any loss or damage to property or personal injuries sustained or occurring on any “Northern Illinois Jeep Alliance, Inc.’s” club event.
Furthermore, by signing this form, I certify that my vehicle is properly insured according to the laws of the state of Illinois.
I agree.
Northern Illinois Jeep Alliance Rockford, IL
(815) 494-6895
E-Mail: racarr95@hotmail.com
Web: http://jeepalliance.org