Tall City Axe House - Waiver Form

TALL CITY AXE HOUSE

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

 

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the person or entities being released from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

 

I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health- related reason or problems that preclude my participation in this activity.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at this activity.

In consideration of my application and permitting me to participate in the activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

  1. I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity. THE FOLLOWING ENTITIES OR PERSONS: Angelo Axe House, MS&CH Investments LLC, or their owners, directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and property owners.
  2. INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in (A) paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

I acknowledge that Tall City Axe House and MS&CH Investments LLC, and their owners, directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that this activity may involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, conditions of participants, equipment, vehicular traffic, lack of hydrations, and actions of other people including, but not limited to, participants, volunteers, monitors, supervisors, and /or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers, and onlookers.

I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during this activity.

I understand that while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

           
     

COMPLETE SELECTION BELOW IF PARTICIPANT ABOVE IS A MINOR: I am the parent or guardian of the minor named above. I have the legal right to consent to, and by signing below, I hereby do consent to the terms and conditions or this Release of Liability and Waiver of Claims. I agree to be present while the minor is axe throwing.

 

Clear Signature