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Off The Wallz Trampoline Park
50 Ashwood Avenue,
Slemon Park, PEI C0B 2A0

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AGREEMENT

(hereinafter referred to as the “Release Agreement”)

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.

PLEASE READ CAREFULLY!

TO: D.J. Family Entertainment Inc. doing business as Off The Wallz Trampoline Park, its employees, agents, representatives, sponsors, successors and assigns (hereinafter collectively referred to as the “RELEASEES”)

FROM: (Participant’s Name)

First Participant's Name

First Name*

Last Name*

Phone*
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*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Must be signed by a parent or guardian if Participant is under 18 years of age.
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*
 ASSUMPTION OF RISKS<br> I am aware that participating in the ticketed activity involves many risks, dangers and hazards<br> including but not limited to: equipment failure; improper use of equipment; slips and falls while<br> participating in the ticketed activity; over-exertion; fear of heights; failure to remain within<br> designated areas; impact or collision with other participants or persons, or with natural or manmade<br> objects; being struck by balls, or other projectiles; being pinched, cut, or burned by<br> equipment; cardiac problems; stroke; loss of consciousness; other conditions that may be<br> worsened by physical activity; negligence of other participants or guides; and negligence on the<br> party of the Releasees, including the failure on the part of the Releasees to take reasonable<br> steps to safeguard or protect from the risks, dangers and hazards of participating in the ticketed<br> activity. I freely accept and fully assume all such risks, dangers and hazards and the possibility<br> of personal injury, death, property damage and loss resulting therefrom.<br><br> RELEASE OF LIABILITY, WAIVER AND INDEMNITY AGREEMENT<br> In consideration of the RELEASEES agreeing to participation in the ticketed activities and<br> permitting use of their equipment, parking and other facilities, and for other good and valuable<br> consideration, the receipt and sufficiency of which is acknowledged, I hereby agree TO WAIVE<br> ANY AND ALL CLAIMS that I/my child have or may in the future have against the RELEASEES<br> AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense<br> or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my<br> participation in the ticketed activities, DUE TO ANY CAUSE WHATSOEVER, including<br> negligence, breach of contract, or breach of any statutory or other duty of care, including any<br> duty of care owed under the Occupiers’ Liability Act of PEI, on part of the Releasees, and further<br> including the failure on the part of the Releasees to take reasonable steps to safeguard or<br> protect from the risks, dangers and hazards of participating in the ticketed activities.<br><br> In entering into this Release Agreement I am not relying on any oral or written representations<br> or statements made by the Releasees with respect to the safety of participating in the ticketed<br> activities, other than what is set forth in this Release Agreement.<br><br> I further grant the Releasees the right to photograph, videotape and/or record me and/or my<br> child and to use my or my child’s name, face, likeness, voice and/or appearance in connection<br> with exhibitions, publicity, advertising and promotional materials without reservation, limitation or<br> compensation.<br><br> I have read and understood the Release Agreement above, and I agree to be bound by its<br> terms. Further, I confirm that I am the parent or legal guardian of the Participant listed below and<br> that I have full authority to consent and agree to the terms of this Release Agreement.


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