Supporting Dealer Identification BRP Dealer # : Dealership Name : Dealership Fax Number : Dealer Contact : Email : Phone number : Racer Identification You must have had some racing experience in the past 3 years. Is it the case? Yes No Have you ever been approved as a racer in this program? Yes No If affirmative, please provide your racer ID : Last Name : First Name : Address : City : State / Province : ZIP / Postal Code : Email : Email any changes in postal or email address to: CanAmATVRacing@brp.com Telephone : ( ) Age : of Birth : / / MONTH DAY YEAR THIS PROGRAM IS OPEN TO BOTH PROFESSIONAL AND AMATEUR RIDERS. THIS PROGRAM IS NOT OPEN TO RIDERS UNDER 16. COMPLETE THE PARENTAL OR GUARDIAN CONSENT, RELEASE AND WAIVER SECTION IF UNDER 18 OR CONSIDERED TO BE A MINOR IN YOUR STATE / PROVINCE OF RESIDENCE. PAGE 1 OF 7 SIGNATURES BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE FOR BRP USE DEALER TO ALLOW AT LEAST 10 WORKING DAYS FOR PROCESSING AND WAIT FOR BRP APPROVAL BEFORE PROCEEDING WITH THE UNIT SALE UNDER THE PROGRAM CAN-AM X-TEAM RACER SUPPORT PROGRAM NOTICE Application approved Application rejected Please resubmit with additional information: Can-Am X-Team Racer ID: Signature, Manager, Can-Am Off-Road Racing Print Name
Racer Support Description - DS 450 Models Select which DS 450 model Racer will purchase : 2014 DS 450 2014 DS 450 X mx 2014 DS 450 X xc 2015 DS 450 X mx 2015 DS 450 X xc X-Team Racer Discount at the purchase of a new and unused unit $1000 $1000 $1000 $1000 $1000 Please print VIN of the unit the racer intends to purchase: FREE Can-Am X-Team Stage 1 Performance Kit Retail value of up to $670 Installation by Dealer is not included. FREE Can-Am Parts Account at the purchase of a new and unused unit Retail value of $1000 To be used by approved Racer to purchase additional Can-Am Parts, Accessories and Clothing at regular retail price. In consideration for the privileges listed above, Dealer and Racer agree to promote Dealer and the Can-Am brand at competition racing venues and promotional events. Bombardier Recreational Products Inc. ("BRP") reserves the right to charge back the Dealer in the event BRP determines that any program requirement has not been met. Dealer and Racer understand and agree that the ATV unit will be modified and can be used solely for competition. Dealer and Racer agree that (1) after modification, the unit will no longer comply with certain United States Environmental Protection Agency (EPA) emission standards, (2) the unit will be used solely for competition, and (3) following modifications made to the unit and after validation of the unit registration, the unit will not be covered by the BRP limited warranty which will be void. Refer to Sales Bulletin 16-15-CANAM-US for program details. PAGE 2 OF 7 SIGNATURES BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE
Racer Support Description All Other Models Indicate which eligible ATV model Racer wishes to purchase: Model Name Model-Year X-Team Racer Discount at the purchase of an eligible new and unused ATV $1,000 Indicate which eligible side-by-side vehicle model Racer wishes to purchase: Model Name Model-Year X-Team Racer Discount at the purchase of an eligible new and unused side-by-side $1,500 Please print VIN of the unit the Racer intends to purchase: In consideration for the privileges listed above, Dealer and Racer agree to promote Dealer and the Can-Am brand at competition racing venues and promotional events. Bombardier Recreational Products Inc. ("BRP") reserves the right to charge back the Dealer in the event BRP determines that any program requirement has not been met. Dealer and Racer understand and agree that (1) if modified, the Can-Am unit may no longer comply with certain United States Environmental Protection Agency (EPA) emission standards, (2) the unit will be used solely for competition, and (3) after validation of the unit registration, the unit will not be covered by the BRP limited warranty which will be void. Refer to Sales Bulletin 16-15-CANAM-US for program details. PAGE 3 OF 7 SIGNATURES BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE
Racer Résumé (Please attach an additional sheet if required) PROFESSIONAL AND AMATEUR RIDERS/DRIVERS ARE ELIGIBLE FOR THIS PROGRAM Racer information: Last Name : First Name : Number of Years Racing : Email : Racing series in which racer intends to compete this season: Series : State / District / Region : Class : Rider Number : Racing series in which racer competed last season: Series : State / District / Region : Class : Overall Class Result : Best Finish: Event : Event Track / City / State : ATV-SxS Make / Model : Rider Number : Career highlight: Series : State / District / Region : Class : Overall Class Result : Best Finish : Event : Event Track / City / State : Email any changes in postal or email address to: CanAmATVRacing@brp.com Race result Internet sites: (Please indicate the links to race result sites to validate the given information.) Internet Site Internet Site Championship series results: It is the racers' responsibility to inform the Can-Am Off-Road Racing Department if they win a championship. They must do so by sending an e-mail to CanAmATVRacing@brp.com prior to November 30 of each year. Race promoter reference: Print Name Title Name of circuit Promoter Signature PAGE 4 OF 7 SIGNATURES BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE
Dealer Release and Waiver BRP Dealer # : Dealership Name : In consideration of being considered to participate in this Can-Am X-Team Racer Support Program ( Program ), Dealer, on behalf of itself and its affiliates, owners, directors, officers, employees, agents, representatives, attorneys, independent contractors, predecessors, successors and assigns (collectively with Dealer, "Dealer Parties"), hereby irrevocably and unconditionally releases, discharges, and covenants not to sue Bombardier Recreational Products Inc. ("BRP"), BRP's parent and affiliated companies, and each of their respective owners, shareholders, directors, officers, employees, independent contractors, attorneys, agents, representatives, predecessors, successors and assigns (collectively with BRP, "Released Parties") from and against any and all claims, actions, causes of action, damages, demands, liens, rights, controversies, losses, costs and expenses (including, but not limited to, attorneys' fees and costs), or charges of any nature whatsoever, known or unknown, suspected or unsuspected, fixed or contingent, developed or undeveloped, contingent, past, present or future, including without limitation wrongful death, any and all personal injuries, and injuries to property, real or personal, whether or not liability is alleged to arise from product defect, negligence, failure to warn, failure to instruct, failure to construct properly, failure to keep safe, failure to maintain or other tortious conduct ("Claims"), which Claims arise from or relate to: (a) the participation of the Dealer Parties in the Program or any race or preparation for any race; and (b) any act or omission of the Released Parties relating to the Program. Dealer understands that ATV and side-by-side riding is inherently dangerous and hereby represents to BRP that the Dealer Parties and the Racers they sponsor, based on the information provided for in the Racer Resume document, have had sufficient experience riding ATVs or sideby-side vehicles to understand all the risks involved in ATV or side-by-side vehicle racing. Dealer expressly and voluntarily assumes all risk of personal injury or death sustained by the Dealer Parties while participating in racing events and the Program, whether or not caused by the negligence or other fault of Released Parties, or any of them, including but not limited to EQUIPMENT MALFUNCTION FROM WHATEVER CAUSE, INADEQUATE TRAINING OR SUPERVISION, DEFECTIVE DESIGN OR MANUFACTURE OF EQUIPMENT OR ATV OR SIDE-BY- SIDE VEHICLE RACE COURSE, FAILURE TO KEEP SAFE, FAILURE TO INVESTIGATE OR SUPERVISE OTHERS, OR FAILURE TO WARN OF POTENTIAL RISKS. Dealer further agrees, on behalf of itself and all Dealer Parties, to indemnify, defend and hold harmless all of the Released Parties from all claims and suits for personal injuries, including death, and damage to property caused directly or indirectly by any act or omission arising out of the participation in any racing events or the Program by any Dealer Parties, and from all judgments recovered and from all expenses incurred in defending said claims or suits. Dealer further agrees, on behalf of itself and all Dealer Parties, that all photographs, pictures, slides, likenesses, and/or movies taken or made of any Dealer Parties by or for BRP in connection with the Program, or any reproduction or replica of same, as well as the name of any Dealer Parties, may be used in any manner by BRP or by any person or entity authorized by BRP. Dealer understands that it is giving up substantial rights by signing this document. The person signing on behalf of Dealer hereby certifies that he or she is authorized to do so, and has done so after reading and fully understanding all terms and conditions of the Program, and Dealer hereby agrees to abide by such terms and conditions, as they may be changed from time to time by BRP in its sole discretion. PAGE 5 OF 7 SIGNATURE BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE Exact Name of Dealer Entity Print Name Title
Racer Release and Waiver Racer Full Name : In consideration of being considered to participate in this Can-Am X-Team Racer Support Program ( Program ), I, the undersigned, for myself and for my successors, heirs and assigns, hereby release, waive liability, promise never to sue, and forever discharge, Bombardier Recreational Products Inc. ("BRP") and BRP's parent and affiliated companies, and each of their respective owners, shareholders, directors, officers, employees, independent contractors, BRP dealers, attorneys, agents, representatives, predecessors, successors and assigns (collectively, including BRP, Released Parties ) from all claims, including but not limited to claims for negligent acts or omissions, actions or judgments that I may have or claim to have against Released Parties, or any of them, for ALL PERSONAL INJURIES, INCLUDING DEATH, AND ALL INJURIES TO PROPERTY, real or personal, directly or indirectly caused by or arising out of my participation in any racing events or the Program. I understand that ATV or side-by-side vehicle riding is inherently dangerous. I represent to BRP that I have had sufficient experience riding ATVs or side-by-side vehicles to understand all the risks involved in ATV or side-by-side vehicle racing. I expressly and voluntarily assume all risk of personal injury or death sustained while participating in racing events and the Program, whether or not caused by the negligence or other fault of Released Parties, or any of them, including but not limited to EQUIPMENT MALFUNCTION FROM WHATEVER CAUSE, INADEQUATE TRAINING OR SUPERVISION, DEFECTIVE DESIGN OR MANUFACTURE OF EQUIPMENT OR ATV OR SIDE-BY-SIDE VEHICLE RACE COURSE, FAILURE TO KEEP SAFE, FAILURE TO INVESTIGATE OR SUPERVISE OTHERS, OR FAILURE TO WARN OF POTENTIAL RISKS. I further agree, for myself and for my successors, heirs and assigns, to indemnify, defend and hold harmless all of the Released Parties from all claims and suits for personal injuries, including death, and damage to property caused directly or indirectly by any act or omission arising out of my participation in any racing events or the Program, and from all judgments recovered and from all expenses incurred in defending said claims or suits. I further agree that all photographs, pictures, slides, likenesses, and/or movies taken or made of me by or for BRP in connection with my participation in the Program, or any reproduction or replica of same, as well as my name, may be used in any manner by BRP or by any person or entity authorized by BRP. I am in good health and have no physical condition that would restrict or prevent me from participation in the Program. I understand that I am giving up substantial rights by signing this document. I have read and fully understand the terms and conditions of the Program, and I agree to abide by such terms and conditions, as they may be changed from time to time by BRP in its sole discretion. PAGE 6 OF 7 SIGNATURE BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE Print Name
Parental or Guardian Consent, Release and Waiver THIS MUST BE COMPLETED IF RACER IS UNDER 18 OR CONSIDERED TO BE A MINOR IN YOUR STATE / PROVINCE OF RESIDENCE Racer Full Name : I represent and warrant to BRP and BRP dealer and certify, acknowledge and agree as follows: (1) the Racer listed above ( Child ) is a minor, (2) I am the parent or legal guardian with custody of the Child, (3) the Child and I reside at the same address, (4) I am the owner of all ATVs or side-by-side vehicles that the Child will be using in the Program, (5) either the Child is listed or I am listed as the owner of such ATVs or side-by-side vehicles on the BRP vehicle-sales registration documents, (6) I have read and I fully understand this complete Release and Waiver form, including the sections that were signed by the Child, (7) I hereby consent to the Child s participation in the Program and agree on behalf of the Child, myself and my spouse to release the Released Parties and waive liability from all claims, including without limitation claims for negligent acts or omissions, directly or indirectly arising from or related to the Child s participation in the Program, (8) I agree that the Child and I will be bound by all of the terms listed in this Release, (9) I understand that BRP is relying on each of my representations, warranties and agreements to permit the Child to participate in the Program, (10) I hereby agree to indemnify and defend all of the Released Parties from any claims released herein that are asserted by or on behalf of the Child. I understand that there are risks (including SERIOUS BODILY INJURY or DEATH) associated with participating in the Program, and I hereby assume, on behalf of the Child, myself and my spouse, all such risks, including those detailed above. I am releasing any and all claims that the Child, my spouse or I may have for emotional distress or loss of consortium in the event the Child suffers bodily injury or death. I further agree, for the Child, myself, my spouse, and our respective successors, heirs and assigns, to indemnify, defend and hold harmless the Released Parties from all claims and suits for personal injuries, including death, and damage to property directly or indirectly caused by or arising out of the Child s participation in any racing events or the Program, and from all judgments recovered and from all expenses incurred in defending said claims or suits. I understand that I am giving up substantial rights by signing this document. PAGE 7 OF 7 SIGNATURE BELOW CERTIFY THAT ABOVE STATEMENTS ARE CORRECT AND COMPLETE Parent or Guardian Signature Print Name