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UNION SKATE CENTER – PARTICIPANT WAIVER AND RELEASE OF LIABILITY

Location: Union, South Carolina

For participants under 18, this form must be signed by a parent or legal guardian.

1. Assumption of Risk

I understand that roller skating and participation in activities at Union Skate Center (the “Facility”)

involve inherent risks, including but not limited to falls, collisions with other skaters or objects, injuries to

arms, legs, back, head, or neck, or even death, as well as loss or damage of personal property. I freely

and voluntarily assume all risks of injury, loss, or damage, whether caused in whole or in part by the

negligence of the Facility, its owners, employees, or agents, or by other participants.

2. Waiver and Release of Liability

In consideration for being permitted to enter and/or participate at the Facility, I, on behalf of myself and

my heirs, executors, administrators, and assigns, hereby release, waive, discharge, and covenant not

to sue the Facility, its owners, officers, directors, employees, agents, representatives, successors, and

assigns (collectively the “Released Parties”) from any and all liability, claims, demands, actions, or

causes of action for injury, death, or property loss arising out of or related to my participation in the

Facility’s activities, even if caused in whole or part by the negligence of the Released Parties.

3. Behavior and Conduct

All guests must act responsibly and respectfully at all times. Fighting, roughhousing, or any form of

aggressive, unsafe, or disruptive behavior is strictly prohibited.

I understand that the Facility reserves the right to remove any individual engaging in such behavior

without refund.

I further acknowledge that Union Skate Center and the Released Parties are not responsible for

injuries, damages, or losses resulting from the actions, negligence, or intentional acts of other guests or

participants, including altercations or unsafe conduct.

4. Rental Equipment & Personal Property

If I rent or use skates or other equipment provided by the Facility, I understand that I do so at my own

risk. The Facility is not responsible for damage to, or loss or theft of, my personal property while I am on

the premises

5. Chaperone Policy (for minors)

I understand and agree that children under the age of 10 years must be accompanied and supervised

by a chaperone aged 13 or older at all times while at the Facility. Failure to comply with this policy may

result in removal from the Facility without refund.

6. Safety Rules & Compliance

I agree to follow all posted rules and instructions from Facility staff and to use the facility and equipment

in a safe manner appropriate to my abilities. I certify that I am physically capable of participation, have

no medical condition that would make participation unsafe, and will notify Facility staff of any such

condition before participating.

7. Acknowledgement of Understanding

I have read this Waiver and Release of Liability, fully understand its terms, understand that I am giving

up substantial rights by signing it, and sign it freely and voluntarily without any inducement.


This waiver remains in effect for all visits by the above-named participant for up to one year from the

date signed, unless otherwise revoked in writing


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last 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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
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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