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807 Sprucelake Drive

Harbor City, CA 90710

www.ice-america.com

ADULT & PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, AND ASSUMPTION OF RISK AGREEMENT

FOR GOOD AND VALUABLE CONSIDERATION, including permission for myself and the minor(s) listed below (Minor(s)) to skate and otherwise participate in related activities at HILLSBORO Holiday Ice Skating Rink, I, for myself, my successor, heirs, assigns, executors, and administrators, and as the parent/guardian of the Minor(s) on behalf of the Minor(s):

1. Agree that prior to participating in the event or activity, prior to providing consent to the Minor(s)s participating in the event or activity, and prior to my participation and/or the Minor(s)s participation in the event or activity, the Minor(s) and I will inspect the facilities, equipment, and areas where the event or activity is being conducted and, if either of us believes any of them are unsafe, I will immediately advise the person supervising the event, activity, facility or area;

2. Acknowledge that the Minor(s) and I fully understand that my participation and/or the Minor(s)s participation may involve risk of serious injury or death, including economic losses, which may result not only from my or the Minor(s)s own actions, in-actions, or negligence, but also from the actions, in-actions, or negligence of others, the condition of the facilities equipment, or areas where the event or activity is being conducted, the rules of play, or this type of event or activity;

3. Release, waive, discharge and relinquish Seaside Ice, LLC dba Ice-America, Ice-World International, All Access Staging & Productions, and the City of Hillsboro, their owners, partners and affiliates, as now or hereafter constituted, and their respective officers, shareholders, members, directors, whether direct or indirect, and all directors, elected officials, officers, insurers, employees, agents, licensees, and successors and assigns of any of the foregoing from any and all liability, loss, damage, claim, demand or cause of action brought against them attributable to my or the Minor(s)s participation in the event or activity, whether same shall arise by their negligence or otherwise;

4. Assume any and all risks of personal injuries to myself and/or the Minor(s) and authorize Seaside Ice, LLC dba Ice-America, Ice-World International, All Access Staging & Productions, and the City of Hillsboro to contact or employ a licensed physician to render any medical treatment that may be deemed necessary for me and/or the Minor(s) or to take and admit me and/or the Minor(s) to any hospital. If such medical treatment or hospitalization is required, I agree to pay all medical and hospital bills relating thereto, and agree to pay all damages relating to my and/or the Minor(s)s permanent or partial disability or death, and any other damages to me and/or the Minor(s), and any other damages to my or the Minor(s)s property, caused by or arising from my participation or the Minor(s)s participation in the event or activity;

5. Covenant not to sue or present any claim for personal injury, property damage, or wrongful death for or on behalf of myself or the Minor(s) against Seaside Ice, LLC dba Ice-America, Ice-World International, All Access Staging & Productions, and the City of Hillsboro, or their respective officers, shareholders, members, directors, insurers, employees, or agents attributable to my or the Minor(s)s participation in the event or activity;

6. Agree that photographs, pictures, slides, movies, or videos of myself and/or the Minor(s) may be taken in connection with my or the Minor(s)s participation in the event or activity, and consent to the use of such photographs, pictures, slides, movies, or videos for any legal purpose, without compensation from Seaside Ice, LLC dba Ice-America, Ice-World International, All Access Staging & Productions, or the City of Hillsboro. Further consent that my identity and/or the Minor(s)s identity may be revealed either therein, or by description, text, commentary, or otherwise, and waive any and all rights, claims or interest in such photographs, pictures, slides, movies, videos, description, text or commentary, and understand that there will be no financial or other remuneration;

7. Warrant that I am in good health and the Minor(s) is (are) in good health and have no physical condition that would prevent me or the Minor(s) from participation in the event or activity;

8. Acknowledge that the City of Hillsboro, Seaside Ice, LLC dba Ice-America and All Access Staging & Productions are not joint sponsors, joint venturers, partners, or otherwise jointly engaged in the above named event or activity;

9. Agree to defend, indemnify, and hold harmless the City of Hillsboro, Seaside Ice, LLC dba Ice-America and All Access Staging & Productions from any and all claims, including attorneys fees and costs, which may be brought against them, or any of them, or any of their respective officers, elected officials, shareholders, members, directors, insurers, employees, or agents by anyone claiming to have been injured as a result of my and/or the Minor(s)s participation in the activity.

IMPORTANT:

THIS DOCUMENT RELIEVES SEASIDE ICE, LLCDBAICE-AMERICA,ICE WORLD INTERNATIONAL, ALL ACCESS STAGING & PRODUCTIONS, and THE CITY OF HILLSBORO, AND OTHERS FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE CAUSED BY NEGLIGENCE. A PARENT OR LEGALLY APPOINTED GUARDIAN MUST SIGN. LEGALLY APPOINTED GUARDIANS MUST SIGN AND FURNISH A CERTIFIED COPY OF LETTERS OF GUARDIANSHIP.

I UNDERSTAND THAT THE CITY, BEING NEITHER THE MANUFACTURER, NOR A SUPPLIER, NOR A DEALER IN THE EQUIPMENT BEING SUPPLIED INCLUDING BUT NOT LIMITED TO ICE SKATES, NOR ANY OF THE MANUFACTURERS, SUPPLIERS, OR DEALERS INCLUDING SEASIDE ICE, LLC DBA ICE-AMERICA, ICE-WORLD INTERNATIONAL, AND ALL ACCESS STAGING & PRODUCTIONS , MAKE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO ANY MATTER WHATSOEVER, INCLUDING, WITHOUT LIMITATION, THE CONDITION OF THE EQUIPMENT, ITS MERCHANTABILITY, ITS DESIGN, ITS CAPACITY, ITS PERFORMANCE, ITS MATERIAL, ITS WORKMANSHIP, ITS FITNESS FOR ANY PARTICULAR PURPOSE, OR THAT IT WILL MEET THE REQUIREMENTS OF ANY LAWS, RULES, SPECIFICATIONS, OR CONTRACTS WHICH PROVIDE FOR SPECIFIC APPARATUS OR SPECIAL METHODS. CITY, SEASIDE ICE, LLC DBA ICE-AMERICA, ICE-WORLD INTERNATIONAL, AND ALL ACCESS STAGING & PRODUCTIONS FURTHER DISCLAIM ANY LIABILITY WHATSOEVER FOR LOSS, DAMAGE, OR INJURY TO MYSELF OR THIRD PARTIES AS A RESULT OF ANY DEFECTS, LATENT OR OTHERWISE, IN THE EQUIPMENT.

I HAVE READ THIS DOCUMENT, UNDERSTAND THAT I WILL GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN VOLUNTARILY. I AM AWARE OF THE RISKS INVOLVED IN MY AND/OR THE MINOR(S)S PARTICIPATION IN THE EVENT OR ACTIVITY. I FURTHER ACKNOWLEDGE THAT I WAS PROVIDED WITH THE OPPORTUNITY TO HAVE INDEPENDENT COUNSEL REVIEW THIS AGREEMENT AND WAS SPECIFICALLY ADVISED TO RETAIN COUNSEL TO REVIEW THIS AGREEMENT. I AM LEGALLY COMPETENT TO SIGN THIS RELEASE AND DO SO OF MY OWN FREE WILL. I HAVE BEEN ADVISED THAT PARTICIPANTS SHOULD WEAR HEAD PROTECTION.

First Participant's Name

First Name*

Last Name*
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 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 Guardian's Name

First Name*

Last Name*
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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