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XSCAPE Weatherford, Release of Liability, Indemity and Assumption of Risk Agreement

~~In consideration of being permitted by Player One Amusement Group Inc, doing business as “XSCAPE Weatherford”, to participate in its activities and to use its equipment and facilities, now and in the future, I hereby agree to release, indemnify and forever discharge XSCAPE Weatherford, its agents, owners, members, shareholders, officers, directors, managers, partners, employees, volunteers, manufacturers, participants, lessors, affiliates, its subsidiaries, related and affiliated entities, successors and assigns (the “RELEASED PARTIES”), on behalf of myself, my spouse, my child(ren), my parent(s), my heir(s), assign(s), personal representative(s) and estate as follows:
I acknowledge that my participation in the activities provided at XSCAPE Weatherford's trampoline and entertainment facility entails known and unknown 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 and without limitation: exposure of participants to the risk of cuts and bruises, sprained or broken wrists and ankles, concussions, dislocations, head/neck injuries, and in some cases more serious injuries, including paralysis or death. Traveling to and from trampoline locations raises the possibility of any manner of transportation accidents. 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. Similar risks are also inherent in using the Foam Pits, Dunking Hoops, Slack Line, Laser Maze, Ninja Course, Rope Swing and any other attractions and/or devices present at the facility. In any event, if you or your child is injured, you or your child may require medical assistance, at your own, sole expense. Furthermore, XSCAPE Weatherford's employees have difficult jobs to perform. They strive for the highest standards of safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They may give incomplete warnings or instructions, and the equipment being used might become loose, out of adjustment, or malfunction. There is also a risk that XSCAPE Weatherford employees may be negligent in, among other things, monitoring and supervising use of its equipment and facilities and in the maintenance and repair of its equipment and facilities.
I expressly agree and promise to voluntarily accept and assume all of the risks existing in the activities present at XSCAPE Weatherford. My participation in these activities is purely voluntary, and I elect to participate in spite of all known, and unknown risks.
I hereby voluntarily release, forever discharge, and agree to defend, indemnify and hold harmless RELEASED PARTIES 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 XSCAPE Weatherford's equipment or facilities, including any such claims which allege negligent acts or omissions of RELEASED PARTIES.
Should XSCAPE Weatherford 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. This means that I will pay all of those attorney’s fees and costs myself.
 I certify that I have adequate insurance to cover any injury or damage that I may cause or suffer while participating in the activities present at XSCAPE Weatherford, 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 that I may have, pre-existing or otherwise.
In the event that I file a lawsuit against XSCAPE Weatherford for any reason, I agree to do so solely in the State of Texas and I further agree that the substantive law of Texas shall apply in that action without regard to the conflict of the law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I agree as an adult participant, or the Parent/Legal Guardian of a minor participant, in consideration of being permitted to participate at XSCAPE Weatherford, grant XSCAPE Weatherford, and all RELEASED PARTIES, the irrevocable right and permission to photograph and/or record me or my child(ren)/ward(s) in connection with XSCAPE Weatherford to use the photograph and/or recording for all purposes, including advertising and promotional purposes, in any manner in any and all media now or hereafter known, in perpetuity  throughout the world, without restriction as to alteration. I waive any right to inspect or approve the use of the photograph and/or recording, and acknowledge and agree that the rights granted to this release are without compensation of any kind. All photographs and/or recordings are the exclusive property of XSCAPE Weatherford.
If the participant is a minor, I agree that this Waiver, Release of Liability, Indemnity and Assumption of Risk Agreement (this “RELEASE”) is made on behalf of that minor participant and that all of the releases, waivers and promises herein are binding on that minor participant. I represent that I have full authority as Parent or Legal Guardian of the minor participant to bind the minor participant to this Release.
If the participant is a minor, I further agree to defend, indemnify and hold harmless XSCAPE Weatherford from any and all claims or suits for personal injury, property damage or otherwise which are brought by, or on behalf of the minor, and which are in any way connected with such use or participation by the minor, including injuries or damages caused by the negligence of RELEASED PARTIES, except injuries or damages caused by the gross negligence or willful misconduct of the party seeking indemnity.
I confirm that I have not consumed any alcohol, drugs, or participated in any other activity which might impair my ability to safely participate in the activity prior to or during the course of my partaking in any of the activities located at XSCAPE Weatherford’s facility.
I confirm that I have had sufficient time to read and understand this Release in its entirety. I understand that this Release represents the entire agreement between myself and XSCAPE Weatherford (and the RELEASED PARTIES), and is binding on myself and anyone claiming through or under me.  I on my own behalf am executing this Release freely and voluntarily without any compulsion on the part of XSCAPE Weatherford or any of the RELEASED PARTIES.
In consideration of not being required to sign a new copy of this RELEASE before each visit, I further agree that this RELEASE shall apply to all future visits by me and by the minor participant until he/she is 18 years old in full, including all provisions of this Agreement.
                 By signing this document, I acknowledge that if anyone is hurt or property damaged during my participation in any of the XSCAPE Weatherford activities, I may be found by a court of law to have waived my or the minor participant’s right to maintain a lawsuit against XSCAPE Weatherford or any RELEASED PARTIES on the basis of any claim from which I have released them herein. 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

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First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

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Second Participant's Date of Birth*
Third Participant's Name

First Name*

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Third Participant's Date of Birth*
Fourth Participant's Name

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Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

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Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

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Sixth Participant's Date of Birth*
Seventh Participant's Name

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Seventh Participant's Date of Birth*
Eighth Participant's Name

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Eighth Participant's Date of Birth*
Ninth Participant's Name

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Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

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Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
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Address Line 2:
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Parent or Guardian's Email Address

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Emergency Contact

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Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Accept & Sign Your Wavier
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I certify that I am the parent or legal guardian of the above minor(s)
I agree to the terms of the above agreement
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*

Middle Name

Last Name*

Relationship*

Phone*
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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