Omertà riderz – Extremewheelie
Please complete this Rider Waiver & Questionnaire before attending your booked session with Omertà Riderz.
Your booking is not considered complete until this form has been submitted.
Full Name *
Address *
Email Address *
Emergency Contact *
Age Confirmation *
I confirm that I am 18 years of age or older.
Motorcycle Licence *
I confirm that I hold a valid full motorcycle licence (where applicable).
Would you like to receive offers, event announcements and discounts from Omertà Riderz?
YesNo
Please read the following carefully before participating.
Ride at your own risk. Extreme Wheelie Ltd accepts no responsibility for any accident, injury or loss however caused.
Personal belongings. Extreme Wheelie Ltd accepts no responsibility for any loss or damage to personal belongings.
Alcohol & Drugs. Management reserves the right to refuse participation to anyone believed to be under the influence of alcohol or drugs.
Appropriate Clothing. Riders wearing unsuitable footwear or clothing may be refused participation.
Public Roads. Extreme Wheelie Ltd does not encourage or promote dangerous riding, wheelies or stunts on public roads.
Follow Staff Instructions. I agree to immediately stop using the machine if instructed to do so by any member of staff.
Do you have any medical condition, injury or physical limitation that may affect your ability to participate safely?
I confirm that I have read and understood all of the information above.
I understand that I participate entirely at my own risk and release Extreme Wheelie Ltd from liability to the fullest extent permitted by law.
I confirm that all information I have provided is accurate and complete.
I understand that this electronic submission constitutes my legal agreement to these terms and conditions.
Type Your Full Legal Name *
Date *
By typing your full legal name above, you acknowledge that this serves as your electronic signature and that you agree to all terms contained within this waiver.
