Loading...

RELEASE AND WAIVER LIABILITY AND ASSUMPTION OF RISK AGREEMENT 

PAR 3 INDOOR GOLF PTY LTD TRADING AS THE SIMULATION CENTRE

While on the premises of The Simulation Centre I agree to the following; 

CONDITIONS

I Agree to the use of equipment, services and facilities provided on the following terms and conditions. 

1.  I am aware that my use of The Simulation Centre ‘s equipment, services and facilities can pose dangers and risks of injury and I agree to accept all dangers and risks. 

2. So far as permitted by common law, I; 

a) agree to assume all risk arising out of my use of equipment, services and facilities provided by The Simulation Centre; 

b) agree to release The Simulation Centre from all liability no matter how it arises in respect of any injury, loss or damage suffered as a result of my use of any equipment at The Simulation Centre; 

c) agree to indemnify The Simulation Centre in respect of any legal liability it may have to any third party which in anyway arises from any use or attempted use by me of any Equipment, services or utilities; 

d)  I agree to abide by all rules established by The Simulation Centre regarding the use of the facilities and understand that such use may be forbidden by The Simulation Centre at any time for any reason at all; 

e) I will exercise due care and skill while participating in the Activities; 

f) I agree that if I do not abide by the required rules it will result in removal from the grounds with no refund. 

g) request and agree that first aid or other appropriate medical treatment be administered to me in such manner as the Providers or any of its officers or employees or agents shall deem necessary. 

3.  I am over 18 years of age and have read and understand this document prior to signing it. 

ADULT CONSENT AND INDEMNITY WHERE USER IS UNDER 18 

1. All children under the age of 13 years must be supervised by a parent or guardian at all times within the cafe and activity area.

2. I am over 18 and I consent to the use by the below-named person of equipment, services and facilities on the terms and conditions set out in the paragraphs above, which I have read and understood. 

3. In exchange for The Simulation Centre providing such equipment, services and facilities to the minor or to any third party which in any way arises from any use or attempted use by the below-named person of any equipment, services or facilities. 

4. I sign this document on behalf of myself and the named persons below. 

5. I release and approve The Simulation Centre (Par 3 Indoor Golf Pty Ltd) to use all images and footage, of participant/s and name/s, herewith and likeness recorded on the day.  I further understand the master tape or photograph remains the property of The Simulation Centre (Par 3 Indoor Golf Pty Ltd) and that there will be no restrictions on the number of times that the participant/s and name/s and likeness may be used.

DATED: May 26, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
How did you hear about us?*

If Other, please list:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
How did you hear about us?*

If Other, please list:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
How did you hear about us?*

If Other, please list:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
How did you hear about us?*

If Other, please list:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
How did you hear about us?*

If Other, please list:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
How did you hear about us?*

If Other, please list:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
How did you hear about us?*

If Other, please list:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
How did you hear about us?*

If Other, please list:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
How did you hear about us?*

If Other, please list:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
How did you hear about us?*

If Other, please list:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in the activities at The Simulation Centre, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
How did you hear about us?*

If Other, please list:
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. 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver