HOG CCNS Newsletter January 2016 - WordPress.com

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Sponsoring Retailer-Privateers Harley-Davidson, 74 Hobson Lake Rd, Halifax, NS B3S 1H2

http://www.privateersharleydavidson.com (902) 444 - HOGS (4647)

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Newsletter January 2016

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!! !!!!!!! Keith Richard Greg Rayner Jim Martell Lori Crews

Director Assistant Direct or Secretary Treasurer

!!!!! !!!!! Jon Freeland Dave Galbraith Doug Churchill Paul Power Membership Road Captain/Past Director Public Relations Safety Officer

Cynthia Bond Cathy Trafford Pam Kennedy Laurinda Wile

Privateers Liaison Activities Officer Ladies of Harley Activities Officer !

Dale Williams Phil Campagna Ashley MacPherson Jamie Wile Privateers Manager Editor & Historian Web Master Photographer

!!! !!!!! !!!!!! !CCNS HOG Meetings 1st Wednesday of the Month – UNIFO Office @ 7:00pm

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CHAPTER MEMBERSHIP ENROLLMENT FORM AND RELEASE FOR ADULTS

CHAPTER NAME _________________________________________________________________________ (“Chapter”)

MEMBER NAME _____________________________________________________________________________________

ADDRESS ____________________________________________________________________________________________

CITY ____________________________________ PROV _________________P.C. ________________________________

PHONE # ________________________MEMBER NAT’L H.O.G.® # ___________________________________________

EMAIL ______________________________________________________________________________________________

EXPIRATION DATE OF NATIONAL H.O.G.® MEMBERSHIP ________________________________________________

RETAILER _______________________________________________________________________ (“Sponsoring Retailer”)

I have read the Annual Charter for H.O.G.® Chapters and hereby agree to abide by it as a member of this Retailer sponsored Chapter.

I recognize that while this Chapter is chartered with H.O.G.®, it remains a separate, independent entity solely responsible for its actions.

THIS IS A RELEASE, READ BEFORE SIGNING 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 activities do hereby irrevocably release and forever discharge the Sponsoring Retailer, HarleyDavidson Michigan Inc., HarleyDavidson Motor Company Inc., its subsidiaries and affiliates, Fred Deeley Imports Ltd., HarleyDavidson Owners Group! of Canada Ltd., Deeley Racing Ltd., or my Chapter, the Retailer, event or location named above and any other organizers, sponsors, officials and volunteers; and their respective directors, officers, shareholders, employees, partners, affiliates, 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, which I now have, or later may have, 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 H.O.G.® or H.O.G.® Chapter 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 of the RELEASED PARTIES, or from any action or inaction on my part, including, without limitation, any claims relating in any way to the design, manufacture, repair or maintenance of the motorcycle(s) or any other equipment involved or which I operate during the ACTIVITIES or 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 FOR ANY INJURY RESULTING TO MYSELF OR OTHERS, OR MY PROPERTY OR THE PROPRETY OF OTHERS, ARISING FROM, OR IN CONNECTION WITH SAID ACTIVITIES. 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 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 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 the 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.

MEMBER SIGNATURE ________________________________________________________________________________

WITNESS SIGNATURE _________________________________ PRINT NAME ________________________________

LOCAL DUES PAID $ ___________________________________ DATE ________________________________________ (Dues not to exceed maximum amount prescribed in, "Annual Charter for H.O.G. ® Chapters", as contained in the H.O.G. ® Chapter Handbook.)

RETURN THIS FORM TO YOUR CHAPTER

AS A MEMBER OF OR GUEST 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 HEREBY AGREE TO ADHERE TO THIS POLICY DURING THE COURSE OF ANY CHAPTER RIDING EVENT AND ACTIVITY THAT I AM A PARTICIPANT IN. Signature: ______________________________________________________________

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