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Where Community Meets Creativity

Waiver Registration Form

PINSPIRATION WAIVER & RELEASE

This Waiver and Release is for the benefit Pinspiration, an Arizona limited liability company, (Brooke Roe LLC), and any and all managers, owners, employees or agents thereof. Pinspiration is a social bar where people gather to create unique do-it-yourself art and design projects. It provides participants the facilities, supplies and tutorials to create take home art and design projects while they simultaneously enjoy the social setting of a bar atmosphere and, at their personal election, may imbibe in the alcoholic offerings of Pinspiration (facilities, services and products). Pinspiration hereby offers its facilities, services and products on the condition that each participant agrees to execute this Waiver and Release. In consideration of the agreement by Pinspiration to permit the individual named below (the Participant) to use its facilities, services and products and participate in activities and programs related thereto, the Participant (and/or the undersigned parent or guardian of the Participant, who shall also be considered a Participant hereunder) hereby voluntarily acknowledges and agrees to all of the following terms and conditions:

1. Participants Assumption of All Known and Unknown Risks. Participant understands, acknowledges and agrees that use of the facilities, services and products offered by Pinspiration may present certain significant risks or dangers, both known and unknown, to Participant, including but not limited to any or all of the following: risks associated with the use of art supplies such as damage or staining of clothing and other property;risks associated with the use of alcohol; risks associated with the use of alcohol in conjunction with tools or other equipment; risks associated with the use of cutting tools such as knives, scissors, chisels, hand heldsaws or other types of blades; risks associated with use of sharp tools and other sharp objects such as needles, nails, screws, leather punches, etc.; risks associated with use of high temperature tools such as hot glue guns, clothing irons, soldering irons, irons for melting wax, etc.; risks associated with use of open flames such as candles, matches, lighters, torches, etc.; risks associated with use of hammers; risks associated with use of potentially poisonous, toxic or dangerous substances or chemicals (including the risk of mislabeling and/or misidentification); risks associated with use of tools that could result in electric shock such as irons, drills, lights, etc.; risks associated with improper instruction, guidance or supervision related to the facilities, services and/or products of Pinspiration, and any and all other risks that may be otherwise associated with the facilities, services and/or products of Pinspiration. These risks include the risk of death, serious bodily injury, emotional harm, property loss or damage and/or other pecuniary harm.PARTICIPANTS USE OF THE FACILITIES, SERVICES AND PRODUCTS OF PINSPIRATION IS AT PARTICIPANTS OWN RISK. PARTICIPANT AND/OR THE UNDERSIGNED PARENT OR GUARDIAN HEREBY ASSUMES FULL AND EXCLUSIVE RESPONSIBILITY FOR ALL RISKS OF BODILY INJURY, DEATH, EMOTIONAL HARM, PROPERTY LOSS OR DAMAGE AND/OR OTHER PECUNIARY HARM INCURRED WHILE PARTICIPANT IS AT THE FACILITIES OF PINSPIRATION OR ARISING DIRECTLY OR INDIRECTLY FROM PARTICIPANTS USE OF THE FACILITIES, SERVICES AND/OR PRODUCTS OF PINSPIRATION, WHETHER OR NOT CAUSED BY THE ACTS OR OMISSIONS, NEGLIGENT OR OTHERWISE, OF PARTICIPANT, OTHER PARTICIPANTS, PINSPIRATION, ANY MANAGER, OWNER, EMPLOYEE OR AGENT OF PINSPIRATION OR OTHERWISE.

2.Waiver and Release of All Claims; Covenant Not to Sue. In consideration of being permitted access to the facilities, services and products of Pinspiration, Participant and/or the undersigned parent or guardian, for himself or herself, and for his or her heirs, executors, successors, assigns, legal representatives, spouse and agents, to the fullest extent allowed by law, expressly intends to release and waive, and by execution of this Waiver and Release does hereby release, waive and forever discharge Pinspiration and its affiliates, predecessors, successors, assigns, subsidiaries, managers, members, owners, employees, agents, attorneys, insurers, and representatives (individually and collectively, the Releasees), without reservation or condition, from and against any and all liability, claims, demands, actions or causes of action which Participant and/or the undersigned parent or guardian may now have, ever had, hereafter have or claim to have against any or all of the Releasees, known or unknown, in any way related to Participants use of the facilities, services and/or products of Pinspiration, and Participant and/or the undersigned parent or guardian further waives any and all rights he or she may now have, ever had, hereafter have or ever claim to have in the same. Participant and/or the undersigned parent or guardian expressly agree and covenant that, to the extent permitted by applicable local, state and federal law, neither Participant nor the undersigned parent or legal guardian, Participants heirs, executors, successors, assigns, legal representatives or agents will (i) commence, prosecute, or cause to be commenced or prosecuted against the Releasees, or any of them, any action or other proceeding based upon or related to any claim which is released hereby, or (ii) seek to challenge the validity or enforceability of this Waiver and Release.

3.Indemnification. Participant and/or the undersigned parent or guardian hereby agree to fully indemnify Releasees and each of them from and against any and all losses, claims, damages, liabilities, costs and expenses (including reasonable attorneys fees) (collectively Claim or Claims), incurred by the Releasees or any of them due to or arising in any way from Participants use of the facilities, services and products of Pinspiration, whether the same is caused by the negligence of any of the Releasees or otherwise, and regardless of whether or not suit is filed in connection therewith.

4.Use of Facilities, Services and Products. Participant hereby agrees to comply with all applicable laws and ordinances and all rules, policies and directives of Pinspiration while Participant is using the facilities, services and/or products of Pinspiration, and Participant hereby agrees to read and comply with any and all rules, regulations and restrictions which may be posted or communicated by Pinspiration with respect to the permitted use of its facilities, services and/or products. Participants compliance with any or all of the foregoing shall not in any way affect the enforceability of this Waiver and Release.

5.Disclaimer of Warranties; Exclusion of Remedies.ALL PINSPIRATION PRODUCTS AND SERVICES ARE SOLD AS IS TO PARTICIPANT, AND PINSPIRATION HEREBY FOREVER DISCLAIMS ANY AND ALL WARRANTIES WITH RESPECT TO ANY AND ALL OF THE SAME, INCLUDING ANY WARRANTY IMPLIED BY LAW, WHETHER OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR OTHERWISE, ALL OF WHICH ARE EXPRESSLY DISCLAIMED AND EXCLUDED. PARTICIPANT SHALL NOT BE ENTITLED TO COLLECT, AND IN NO EVENT SHALL PINSPIRATION BE LIABLE FOR, ANY INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, PUNITIVE OR CONSEQUENTIAL DAMAGES, ALL OF WHICH ARE SPECIFICALLY EXCLUDED HEREBY.

6.Participants Age. Participant hereby represents that at the time of execution of this Release and Waiver he or she is eighteen years of age or older; or, if Participant is under the age of eighteen years, the undersigned parent or guardian represents and warrants that he or she is the parent or legal guardian of the Participant with full right and capacity to execute this Waiver and Release on behalf of Participant, and such parent or guardian assumes all responsibility for the safety of Participant, and executes this Waiver and Release both on his or her own behalf, and on behalf of the Participant. The Participant and/or the undersigned parent or guardian expressly agrees to be bound by all of the terms and conditions of this Waiver and Release, including but not limited to Sections 1-5 hereof.

7.. Media Release; Participant consents to Sponsors use of images such as photographs and videos for promotion and social media purposes. Participant understands these images may be used for a variety of purposes and may appear in promotional materials published by or on behalf of Sponsors., including on websites and social media sites Since anyone can download an image from the Internet or make copies from printed materials, Participant agrees that Sponsors is not responsible for unauthorized use of the images. I am aware that I am not entitled to any compensation.

8. Parties: IF hosting a party, a non-refundable deposit required at time of booking to hold spot.  For kids parties, all children over 12 months and under 10 years (including sibilings) are counted toward guest total. Party packages are for a minimum of 10 guests and an extra fee applies for each additional party guest.  Due to insurance provisions, party guests may attend upon written acceptance of liability. We recommend that hosts and party guests do not bring valuables.  Pricing and project availability subject to change.

9.Miscellaneous. This Waiver and Release shall be governed by the laws of the State of Arizona without regard to conflict of laws principles. Venue for any proceeding relating to the provisions hereof or relating to the Participants use of the facilities, services and products of Pinspiration shall be brought in the District Court in and for the County of Maricopa, State of Arizona, and Participant and/or the undersigned parent or legal guardian hereby expressly consents to the personal jurisdiction of such court over him or her and the venue of such court. Should any action, dispute or claim arise out of this Waiver and Release, Pinspiration, if it is the prevailing party, shall be entitled to recover all of its attorneys fees and costs associated with the enforcement of this Waiver and Release. This Waiver and Release constitutes the entire understanding and agreement of the parties with respect to the subject matter hereof, and supersedes any and all prior and contemporaneous understandings, agreements, commitments, and representations, whether oral or written. No force or effect shall be accorded any prior written or oral representations, promises, agreements, or understandings which are not contained in this Waiver and Release. If any portion of this Waiver and Release shall be held by a court of proper jurisdiction to be indefinite, invalid or otherwise unenforceable, the entire Waiver and Release shall not fail on account thereof, and the balance of this Waiver and Release shall continue in full force and effect. Projects left at Pinspiration for pick up and not retrieved after 21 days will be discarded.  Neither Pinspiration nor its individual staff members are resonsible for lost or stolen items.

PARTICIPANT AND/OR THE UNDERSIGNED PARENT OR GUARDIAN ON BEHALF OF PARTICIPANT HAS CAREFULLY READ THE FOREGOING WAIVER AND RELEASE, UNDERSTANDS ITS CONTENTS, AND SIGNS/ ACCEPTS THIS WAIVER AND RELEASE VOLUNTARILY. PARTICIPANT AND/OR THE UNDERSIGNED PARENT OR GUARDIAN UNDERSTAND AND AGREE THAT THIS WAIVER AND RELEASE IS A BINDING LEGAL CONTRACT, AND THAT BY SIGNING or ACCEPTING THIS WAIVER ONLINE, THIS CONTRACT PARTICIPANT AND/OR THE UNDERSIGNED PARENT OR GUARDIAN WAIVES CERTAIN LEGAL RIGHTS HE, SHE OR THEY MAY OTHERWISE HAVE NOW OR IN THE FUTURE AGAINST RELEASEES. PARTICIPANT AND/OR THE UNDERSIGNED PARENT OR GUARDIAN ACKNOWLEDGE AND AGREE THAT THEY HAVE HAD SUFFICIENT OPPORTUNITY TO CONSIDER THE TERMS HEREOF AND TO CONSULT LEGAL COUNSEL PRIOR TO SIGNING THIS WAIVER AND RELEASE IF DESIRED.

 

First Maker's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Maker's Date of Birth*
Maker'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*
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Zip Code
How did you hear about us?*
Friend
Web Search
Yelp
Social Media
TV
Radio
Event
Other
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*

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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