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Waiver for Lowes Xtreme Air Sports LLC.

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK
In consideration of the services of Lowes Xtreme Air Sports LLC, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (Hereinafter collectively referred to as LXAS), I hereby agree to release, indemnify, and discharge LXAS, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in gymnastic, trampoline activities, and other fitness or amusement activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
The risks include, among other things: slips and falls; falling from equipment; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; strains, cuts, bruises, muscle soreness and fractures; musculoskeletal injuries including head, neck and back; injuries to internal organs; the negligence of other people; my own physical condition, and the physical exertion associated with this activity.
Furthermore, LXAS employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participants fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless LXAS from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of LXASs equipment or facilities, including any such claims which allege negligent acts or omissions of LXAS.

4. Should LXAS, or anyone acting on their behalf, be required to incur attorneys fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. In the event that I file a lawsuit against LXAS, I agree to do so solely in the state of Utah, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against LXAS on the basis of any claim from which I have released them herein. I have read and understand the rules of Lowes Xtreme Air Sports (either viewed on the website or at the facility). I have had sufficient opportunity to read this entire document. I have read and understood it and I agree to be bound by its terms.

FOR MINORS: In consideration of 'Minor being permitted by LXAS to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless LXAS from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

December 11, 2019

IF SIGNING FOR MINORS: You may only sign for minors if you are the parent or legal (court appointed) guardian.

IF SIGNING FOR SELF: You must be at least 18 years old.

BY CHECKING THIS BOX YOU AGREE TO THE ABOVE STATEMENTS

I Agree

 

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Phone Number

Phone Number *
How did you hear about us?

If Other, please provide more details:
How often do you visit our location?
First time
1-2 times a year
1-2 times a month
1-2 times a week
More than twice a week
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Where do you live? (Please select closest city if your city isn't listed) *
Provo/Orem
Springville/Spanish Fork/Payson
American Fork/Lindon/PG
Lehi/Highland/Alpine
Saratoga Springs/Eagle Mountain
Salt Lake County
Southern Utah
Small Town/Not Listed
Out of State
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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