Loading...

Operated by DiGirolamo Athletics LLC 

STEEL CITY PARKOUR LIABILITY WAIVER 

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Steel City Parkour, their agents, owners, officers, volunteers, employees, and all other persons
or entities acting in any capacity on their behalf (hereinafter collectively referred to as "STEEL"), I hereby agree to release, indemnify, and
discharge STEEL, 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 ninja warrior, parkour, tramplines, spring floor, foam pits, climbing wall and warped wall
training and instruction 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, trips, and falls; falling from equipment; collision with other participants, spectators, or
objects; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or
even more severe life threatening hazards; muscular soreness, tears, strains, sprains, dislocations, fractures and broken bones; cuts, bruises,
and muscle soreness; foot, ankle, leg, wrist, arm and shoulder injuries; musculoskeletal injuries including head, neck, and back; eye injury
or loss; being struck by other objects dislodged or thrown from above; the use and potential or actual failure of climbing ropes and
equipment; the risk of falling off the wall; loose and/or damaged artificial holds; abrasions from the walls, ropes, pads, or the floor;
equipment failure; belay and or belayer failure; climbing out of control or beyond one’s personal limits; injuries to internal organs.
Trampolines entail certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Participants can
suffer more serious injuries as well. Traveling to and from trampoline locations will raise the possibility of any manner of transportation
accidents. Participants often fall on each other resulting in broken bones and other serious injuries. Double bouncing, more than one person
per trampoline can create a rebound effect causing serious injury. Flipping and running and bouncing off the walls is dangerous and can
cause serious injury and must be done at the participants own risk. the negligence of other climbers, visitors, participants, or other persons
who may be present; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with
this activity. In any event, if you or your child is injured, any medical assistance will be at your own expense.
Furthermore, STEEL personnel 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 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 STEEL 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 STEEL's equipment or facilities,
including any such claims which allege negligent acts or omissions of STEEL.
4. Should STEEL 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.
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 STEEL, I agree to do so solely in the state of Pennsylvania, 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 STEEL on the basis of any claim from
which I have released them herein. I also agree that this document is valid for subsequent visits and participation at STEEL.
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.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
First Participant's Signature*
Second Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Second Participant's Signature*
Third Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Third Participant's Signature*
Fourth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

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

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
Tenth Participant's Signature*
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 OR GUARDIAN SIGNATURE IF SIGNER IS UNDER 18 YEARS OF AGE As the parent or guardian of Minor whose name appears above I hereby confirm that I have read this Liability Waiver and accept each and every provision of this Liability Waiver on behalf of myself (as if a direct signatory to this Liability Waiver) as well as on behalf of Minor, intending that this Liability Waiver be irrevocably binding upon me, upon Minor, and upon each of my and Minor's respective heirs, executors, administrators and assigns. I represent and warrant that I am at least eighteen (18) years of age, that I am the parent or legal guardian of the above Minor, and that I have legal authority to enter into this Liability Waiver and to bind the Minor.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Please list any allergies to any medication, foods, etc. or any other important information that the Steel City Parkour Staff may need to know:
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver