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Lazer Kraze
PERPETUAL PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

 

TODAY'S DATE: September 20, 2018

In consideration of participating in the recreational activities offered by Lazer Kraze Inc., Lazer Kraze KY, INC., Lazer Kraze 3.0 Inc., Lazer Kraze 4.0 Inc., operators of Lazer Kraze, 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 "Lazer Kraze"), I hereby agree, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

(1) I acknowledge that participation in trampoline court activities, lazer tag, inflatable, cyber sport, amusement activities, and other activities entails KNOWN AND UNANTICIPATED RISKS THAT COULD RESULT IN PHYSICAL OR EMOTIONAL INJURY, PARALYSIS, DEATH, OR DAMAGE TO ME OR MY CHILD, TO PROPERTY, OR TO THIRD PARTIES. I understand, despite Lazer Krazes use of reasonable care, that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: Slipping and falling; collision with fixed objects or people; injuries including, sprains, fractures, scrapes, bruises and cuts, dislocations, pinched fingers and serious injuries to the head, back, or neck the negligence of other participants, Lazer Kraze, or myself; my own physical condition; physical contact with others. (2) I EXPRESSLY AGREE AND PROMISE TO ACCEPT AND ASSUME ALL OF THE RISKS EXISTING in activities at Lazer Kraze. Participation by me or my child in activities at Lazer Kraze is purely voluntary, and I elect to participate, or allow my child to participate, in spite of the risks (3) I HEREBY VOLUNTARILY RELEASE, FOREVER DISCHARGE, AND AGREE TO INDEMNIFY AND HOLD HARMLESS Lazer Kraze FROM ANY AND ALL CLAIMS, DEMANDS, OR CAUSES OF ACTION, which are in any way connected with my or my child's participation in activities at Lazer Kraze or my use of Lazer Kraze's equipment or facilities, INCLUDING ANY SUCH CLAIMS WHICH ALLEGE NEGLIGENT, RECKLESS, WANTON OR INTENTIONAL ACTS OR OMISSIONS OF Lazer Kraze. I UNDERSTAND THAT THIS PERPETUAL RELEASE/WAIVER WILL APPLY TO EACH AND EVERY OCCASION THAT I OR MY CHILD VISIT A Lazer Kraze FACILITY UNTIL I REVOKE THIS AGREEMENT IN WRITING. (4) Should Lazer Kraze 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 neither I nor my child have any medical or health conditions that pose a danger to us or others and we assume the risk of any medical or physical condition that we may have. (6) In the event that I file a lawsuit against Lazer Kraze, I agree to do so solely in the Courts of Delaware County in the State of Ohio, and I further agree that the substantive law of Ohio shall apply in that action without regard to the conflict of law rules of that state. (7) I represent that I have the legal authority to execute this agreement on behalf of the minor children listed below and I AGREE TO INDEMNIFY AND HOLD HARMLESS Lazer Kraze FROM ALL CLAIMS MADE BY OR ON BEHALF OF THESE CHILDREN, THEIR GUARDIANS AND REPRESENTATIVES. (8) 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 ACTIVITIES AT LAZER KRAZE, I MAY BE FOUND BY A COURT OF LAW TO HAVE WAIVED MY RIGHT TO MAINTAIN A LAWSUIT AGAINST Lazer Kraze 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 NOW AND ALL FUTURE VISITS TO LAZER KRAZE UNTIL I EXPRESSLY REVOKE IT IN WRITING TO LAZER KRAZE. 

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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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 Court Appointed Legal Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Court Appointed Legal Guardian's Date of Birth*
Parent or Court Appointed Legal 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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