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PEDAL SALOON/TROLLEY PUB WAIVER

In consideration of the services of Trolley Pub and Pedal Saloon, I agree to release and discharge Trolley Pub and Pedal Saloon , on behalf of myself, my children, my parents, my heirs, assigns, personal representatives, and estate as follows.

 

I acknowledge that the activities involved in the use of Trolley Pub/ Pedal Saloon service entail significant risks, both known and unknown, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or third parties.
I expressly agree to assume all of the risks existing in this activity, both known and unknown, whether caused or alleged to be caused by the negligent acts or omissions of Trolley Pub/Pedal Saloon or its operators. My participation in this activity is purely voluntary and I elect to participate in spite of the risks.
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Trolley Pub/Pedal Saloon 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 one of the Trolley Pubs/Pedal Saloons equipment or facilities, including any such claims which allege negligent acts of omissions of Trolley Pub/Pedal Saloon.
Should Trolley Pub/Pedal Saloon or anyone acting on their behalf, be required to incur attorneys fees to enforce this agreement. I agree to indemnify and hold them harmless for all such fees.
I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or I agree to bare the cost of such injury or damage to myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or I am willing to bear the costs of all risks that may be created, directly or indirectly by any such condition.
I agree that the validity and enforceability of this release of Liability and Assumption of Risk will be governed by the substantive law of Virginia and without regard to its conflict of law rules.
I agree to abide by any and all of the TROLLEY PUB/PEDAL SALOON RULES, which I have been shown. I understand that failure to abide by these rules could result in the early termination of Trolley Pub services without a refund. I understand that if my group abandons the Trolley Pub I am authorizing a penalty of $200.00 to be charged to the credit card on file. I also agree that any photographs or other media recordings may be used by Trolley Pub/Pedal Saloon for commercial purposes. I agree that my email may be used for the purposes of gaining feedback on my experience.
I agree and understand that the weight limit for any individual is 260 pounds. I understand that this requirement is for my own safety and that I will not ride the Trolley Pub/Pedal Saloon vehicle if I am above this weight limit.

 

 

By signing this document I acknowledge that if anyone is 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 Trolley Pub on the behalf of any claim from which I have released them herein.

I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTRIE DOCUMENT. I HAVE READ AND UNDERSTAND IT AND I AGREE TO BE BOUND BY ITS TERMS. 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Location
Click to select your Location *
Arlington
Ann Arbor
Houston
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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