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ACTION SPORTS OF MN INC. D.B.A. 3RD LAIR SKATE PARK

850 FLORIDA AVE SOUTH, GOLDEN VALLEY, MN 55426

PHONE (763) 797 5283

WWW.3RDLAIR.COM

Participant Agreement, Release And Assumption Of Risk

In consideration of the services of Action Sports of Minnesota Inc. d/b/a the 3rd Lair Skate Park, their agents, owners, volunteers, participants employees and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as 3rdLS), I hereby agree to release, indemnify and discharge 3rdLS, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  • I acknowledge that my participation in skateboarding, in-line skating, BMX bicycling, soap shoes, scooters, roller skates, or other activities or sports known as dangerous but not mentioned above 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: Collision with other participants, the walls, or other fixed objects; falling down; my own equipment failure or the failure of others¬†equipment; my own or other's¬†negligence; and objects or conditions on the surface that may cause me to fall; broken bones, sprains, head and back injuries, abrasions, and bruises. Furthermore, 3rdLS employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They may give inadequate warnings or instructions, and the equipment being used might malfunction.
  • 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.
  • I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless 3rdLS 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 3rdLS's equipment or facilities, including any such claims which allege negligent acts or omissions of 3rdLS.
  • Should 3rdLS or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
  • 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 to myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
  • In the event that I file a lawsuit against 3rdLS, I agree to do so solely in the state of Minnesota, 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 portions 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 3rdLS on the basis of any claim from which I have released them herein. 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.

I Agree
August 22, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Preffered Ride
Skateboard
BMX
Scooter
Other
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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