Lumberjaxe Ottawa - Waiver Form

ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, & INDEMNITY AGREEMENT
TO: LUMBERJAXE CANADA/1196183 CANADA, INC., A CANADIAN NUMBERED CORPORATION, ATVG HOLDINGS
USA INC., EACH OF THEIR AFFILIATES, AND EACH OF THEIR RESPECTIVE OFFICERS, DIRECTORS, MANAGERS,
MEMBERS, AND EMPLOYEES (COLLECTIVELY, THE "LUMBERJAXE PARTIES"):
IN CONSIDERATION of allowing me to participate in the axe-throwing activities, related events and other programs
provided from time to time by the LUMBERJAXE PARTIES (collectively, the “ACTIVITIES”), I WARRANT TO THE
LUMBERJAXE PARTIES THAT:
1. I am familiar with the risk of serious injury and death which any participant in the ACTIVITIES must assume, and
2. I believe that I am physically, emotionally and mentally able to participate in the ACTIVITIES, and that any equipment I
provide for the ACTIVITIES is mechanically fit for my use in the ACTIVITIES, and
3. I understand that all applicable rules for participation must be followed and that at all times the sole responsibility for
personal safety remains with me, and
4. I will immediately remove myself from participation, and notify the nearest official, if at any time I sense or observe any
unusual hazardous or unsafe condition or if I feel that I have experienced any deterioration in my physical, emotional or
mental fitness for continued participation in the ACTIVITIES.
I FURTHER UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representatives and next of
kin, that, to the fullest extent permitted by law, my participation in the ACTIVITIES and execution of this document
constitutes:
1. an unqualified ASSUMPTION OF ALL RISKS associated with participation in the ACTIVITIES by me even if arising
from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue
operations or procedures, of the ACTIVITIES organizer and any persons associated therewith or participating therein,
and
2. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the LUMBERJAXE PARTIES and any program
organizer and all other persons and organizations associated with them and the ACTIVITIES, including without limiting
the generality of the foregoing, their respective officers, directors, officials, agents and/or employees, other participants,
sponsors, advertisers, owners and/ or lessors of the premises used to conduct the ACTIVITIES, sanctioning bodies,
medical or rescue personnel (collectively, the “RELEASEES”), of and from with the respect to all injury, disability, death
or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing
or otherwise, and
3. an AGREEMENT NOT TO SUE the RELEASEES for any loss, injury, costs or damages of any form or type, howsoever
caused or arising, and whether directly or indirectly from the participation in the ACTIVITIES by me,
4. an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES, and each of them, from any
litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any
claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of
the RELEASEES or otherwise; and
5. I further agree that, in the event the LUMBERJAXE PARTIES take photographs or videos, I hereby assign full copyright of
these photographs and videos to the LUMBERJAXE PARTIES (and the related representatives and assigns), together with
the right of reproduction either wholly or in part. Furthermore, I grant the LUMBERJAXE PARTIES, the perpetual and
irrevocable and unrestricted right to use and publish video and/or photographs of me, or where I may be included for editorial
trade, product or service advertising and such other fashion /business purpose in any manner and medium, including
advertising with any retouching or alteration without restriction or compensation


Finally, we strongly recommend that closed toed shoes are worn during axe throwing events and walk-in sessions. By
wearing footwear that exposes your toes, you're at risk of injury including but not limited to axes falling on your feet and/or
hitting your feet causing minor or severe injury. If you decide to not wear closed toed shoes, you understand that there are
risks associated with wearing open toed shoes, flip flops, sandals or similar footwear. By continuing with open toed shoes,
you assume all liability and risk associated by doing so.
I HAVE READ THIS DOCUMENT THOROUGHLY AND UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY
WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING
MY PARTICIPATION IN THE ACTIVITIES. I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP
SUBSTANTIAL LEGAL RIGHTS I WOULD OTHERWISE HAVE. I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT
INDUCEMENT. IN SIGNING THIS DOCUMENT, I REPRESENT AND WARRANT TO THE RELEASEES THAT I AM OF
LEGAL AGE AND HAVE THE LEGAL CAPACITY NECESSARY TO GIVE THIS RELEASE.

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