Axe Kickers - Waiver Form

AXE KICKERS, INC.
WAIVER AND RELEASE OF LIABILITY

In consideration of voluntarily participating in any way at Axe Kickers, Inc. (“Axe Kickers”)
indoor axe and hatchet throwing and related events and activities, and in further consideration
that Axe Kickers will furnish the equipment and services allowing for my participation, I, the
undersigned, acknowledge, understand, and agree that:
1. I know that participating in the recreational activity of axe throwing is a potentially
hazardous activity. I should not participate unless I am medically able and properly
trained;; and
2. Risks and hazards exist in my use of axes and hatchets equipment and my
participation in axe throwing activities;; and
3. I agree to abide by and comply with the safety measures required by Axe Kickers and
whose requirements are posted in plain sight in the facility;; and
4. My participation in axe throwing activities may result in my injury or illness. I understand
that risks cannot be eliminated completely, ranging from minor injuries to catastrophic
injuries, including, but not limited to tripping and falling, strains, sprains, concussions,
bone breaks, bruising, bone or joint dislocation, disease, eye injury, blindness, heat
stroke, heart attack, partial and/or permanent paralysis, and death;; and
5. These risks and dangers may be caused by the negligence of the owners, employees,
officers, or agents of Axe Kickers, the negligence of the participants, the negligence of
other participants, accidents, breaches of contract, the forces of nature, or other
causes. These risks and dangers may arise from foreseeable or unforeseeable
causes;; and
6. I acknowledge that while particular rules, equipment, and personal discipline may
reduce the aforementioned risks, the risk of serious injury does still exist;; and
7. By my participation in axe throwing and related activities, I hereby assume all risks and
dangers and all responsibility for any losses and/or damages, whether caused in whole
or in part by the negligence or other conduct of the owners, employees, agents, or
officers of Axe Kickers, or by any other person.
I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin
HEREBY RELEASE, WAIVE, DEFEND, INDEMNIFY, AND HOLD HARMLESS Axe
Kickers, their officers, officials, agents, and/or employees, other participants, sponsoring
agencies, and if applicable, owners and lessors of premises used to house Axe Kickers
(“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or
loss or damage to person or property WHETHER ARISING FROM THE NEGLIGENCE OF
THE RELEASEES OR OTHERWISE, to the fullest extent permitted by

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY
INTENTION TO EXEMPT AND RELIEVE AXE KICKERS FROM LIABILITY FOR PERSONAL
INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR
ANY OTHER CAUSE.
I further agree that I have read and will adhere to all Safety Rules for the Axe Kickers
facility, posted on the wall, and I will follow the instruction of Axe Kickers trainers,
employees, and lane supervisors.

 

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF PARTICIPATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant,
do consent and agree to his/her release as provided above of all the Releasees, and for
myself, my heirs, assigns, and next of kin, I release and agree to indemnity and hold
harmless the Releasees from any and all liabilities incident to my minor child’s
involvement or participation at Axe Kickers as provided above, EVEN IF ARISING FROM
THEIR NEGLIGENCE, to the fullest extent permitted by law.
Further, the undersigned parent or guardian hereby gives permission for Axe Kickers to
authorize emergency medical treatment as may be deemed necessary for the minor
named below while participating in axe throwing from this date on.

Clear Signature