Sparks Adult Helmet Waiver

I, the undersigned, recognize the inherent dangers of skateboarding and using a skate park facility. I wish to participate in activities at Sparks LLC’s skate park. I realize that I am subject to injury from this activity and that no form of preplanning can remove all of the danger to which I am exposing myself. I am aware that Sparks, LLC (DBA Ride Four Ever) strongly recommends that all participants wear helmets while using our facilities. I am aware that a helmet can prevent head injuries and/or traumatic brain injuries in the event of an accident. Despite Sparks LLC Policy I am refusing this critical safety precaution, and I am assuming all risk of injury to myself by my refusal to wear a helmet.

I, the undersigned, hereby covenant and agree to indemnify and hold harmless releasees for and against any and all liability whatsoever for any and all damages, losses, or injuries (including but not limited to death) to persons or property or both, including, but not limited to, any and all claims, demands, actions, causes of actions, damages, losses, injuries, costs, expenses, and attorneys’ fees, that arise out of my injury while I am attending and/or participating in DBA Ridefourever / Sparks, LLC’s skate park, whether or not caused by a party indemnified hereunder, including, but not limited to, damages, losses, or injuries sustained as a result of the negligence of releasees.

I have read, understood and accept the Helmet Wavier.

Dated: November 22, 2019

First Participant's Name

First Name*

Last Name*

First Participant's Date of Birth*

I certify that I am 18 years of age or older

First Participant's Signature*

Type Signature

Draw Signature

Click to Sign

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*

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*

I certify that I am 18 years of age or older

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

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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