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Deniable Activities is an espionage experience taking place in urban and rural environments. There are risks involved in participation.

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. READ CAREFULLY!

To: BLACKLINE EVENTS INC, Operators of Deniable Activity

PART ONE - ASSUMPTION OF RISK

  • I, the undersigned, am willing to participate in the event voluntarily and of my own accord.
    I Agree
  • I recognize and understand that the event takes place in urban and rural environments which cannot be controlled by BLACKLINE EVENTS INC. I recognize and understand that event activities in rural and urban environments present risks.
    I Agree
  • I recognize and understand that participating in the event involves taking part in various activities. These activities include but are not limited to walking, running, climbing stairs, crossing roads with and without traffic, entering and exiting structures, use of mechanical or electrical devices, travel on uneven terrain, operating in and around vehicles, operating in and around other participants and non-participants, stressful or anxiety inducing situations, and other activities associated with moving through urban and rural areas. Activities may occur alone or in combination with one another.
    I Agree
  • I recognize and understand that participating in the event involves certain risks related but not exclusively to the activities listed above. Those risks include but are not limited to slips, falls, trips, making contact with man-made or natural objects or structures, loud noises, the actions of other participants, the actions of non-participants, unlawful or criminal activities of others, increased physical and mental stress, bad weather or terrain conditions including slippery or uneven ground, encounters with peace officers or security, and NEGLIGENCE ON THE PART OF BLACKLINE EVENTS INC, INCLUDING THE FAILURE ON THE PART OF BLACKLINE EVENTS INC TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS, OR HAZARDS OF THE EVENT.
    I Agree
  • I recognize and understand that risks may have results including but not limited to cuts, scrapes, broken bones, damage to eyes and/or hearing, fines or imprisonment by peace officers, environmental injuries (including but not limited to frostbite, hypothermia, hyperthermia, or burns), amputation, nerve damage, psychological impacts, paralysis, other life-altering injuries, SEVERE INJURY OR DEATH.
    I Agree

 

PART TWO - CERTIFICATIONS

  • I, the undersigned, hereby certify that I will obey all lawful requests from law enforcement or security personnel.
    I Agree
  • I, the undersigned, hereby certify that I recognize and understand BLACKLINE EVENTS INC cannot guarantee my safety during the event.
    I Agree
  • I, the undersigned, hereby certify that I am of 18 years of age or older
    I Agree
  • I, the undersigned, hereby certify that I am in good physical and mental health and do not suffer from a physical or mental condition that could result in the injury or death of me or other participants. I agree to inform BLACKLINE EVENTS INC of any physiological condition such as asthma or heart disease, psychological condition such as anxiety or schizophrenia, disability, or other ailment prior to participating in the event. I agree to participate in the event at my own risk.
    I Agree

 

PART THREE - ACKNOWLEDGEMENTS

Despite these and other risks, and fully understanding such risks, I am a willing participant in the Event and hereby assume the risks of participating in the Event. I hereby hold harmless Blackline Events Inc, their directors, officers, employees, agents, volunteers, contractors, suppliers, lessors, sponsors, participants and representatives (all of whom are hereinafter collectively referred to as “the Releasees”) and indemnify them against any or all claims, actions, suits, procedures, costs, expenses (including attorney’s fees and expenses), damages and liabilities arising out of, connected with, or resulting from my participation in the Event, including without limitation, those resulting from the selection, delivery, possession, use, or operation of equipment. I hereby release the Releasees from any and all such liability.

I Agree

 

PART FOUR - RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of participating in the “Event”, I hereby agree as follows:

  1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against BLACKLINE EVENTS INC, their directors, officers, employees, agents, volunteers, contractors, suppliers, sponsors, participants and representatives (all of whom are hereinafter collectively referred to as “the Releasees”);
  2. TO RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES;
  3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in the event and;
  4. That this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in the event of my death.

I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT MY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNEES MAY HAVE AGAINST THE RELEASEES.

I Agree

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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