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LOCKED AWAY ENTERTAINMENT LLC
Accident Waiver and Release of Liability Form

I voluntarily assume full responsibility for myself and applicable dependent family members for any and all risks associated with participating in activities at Locked Away Entertainment LLC, and I do hereby release Locked Away Entertainment LLC, its owners, employees, representatives, administration, other participants, as well as the activity holders, sponsors and agents (hereinafter “Locked Away Ent”) from any and all liability, claims, demands, damages, actions and causes of action of any nature whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained to me, my person, my character, family members, other participants, or any property belonging to me, as a result of participating in this activity.

I understand and certify that

  • My mental and physical health are such that I can safely participate in this activity.
  • I have not been advised against participation in this, or a similar activity, by a healthcare professional.
  • I may be filmed and/or photographed by Locked Away Ent.
  • I agree to allow my likeness in photo and/or video form to be used for any legitimate purpose, including the social media and marketing of Locked Away Ent.
  • I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for Locked Away Ent’s use of my photograph, audio, video, multimedia, or any other media, in conjunction with Locked Away Ent's advertising, marketing, services, or future product offerings.
  • I may be held responsible for any costs associated with repair or replacement of property damaged due to my actions at Locked Away Ent.
  • I may be contacted by Locked Away Ent via email with News and Announcements at the email address I used when making my booking online or the email address I provide below or on customer feedback forms.
  • I am under no pressure or duress to sign this agreement. Should I choose not to sign this agreement, I will not be allowed to participate, but I will be entitled to a full refund of my own individual admission fee.
  • There are no refunds after signing this agreement and participating in the activity.
  • Any legal or equitable claim that may arise from participation in the above shall be resolved under Idaho state law.
  • Locked Away Ent holds the right to refuse services to any participants at its sole discretion.
  • A parent or court-appointed legal guardian 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.

I ACKNOWLEDGE THAT I HAVE READ THE FOREGOING DOCUMENT AND I FULLY UNDERSTAND THE CONTENTS HEREOF AND AGREE TO ALL TERMS AND CONDITIONS. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

Dated: August 18, 2018

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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 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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