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Mississippi Axe Throwing Company LLC

3239 Tom Watson Drive

Saltillo, MS 38866

RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT

In consideration of being allowed to participate in any activity in any way at Mississippi Axe Throwing Company, LLC and all its subsidiaries, its related events and activities, I, the undersigned, warrant, covenant, and agree that:

1. The risk of injury from the inherently dangerous activities arising out of and related to Mississippi Axe Throwing Company, LLC is open, obvious, and significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the inherent risk of serious injury or death does exist;

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM OR IN ANY WAY RELATED TO THE NEGLIGENCE OF THE RELEASEES as defined below, and assume full responsibility and assume all risk of participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation.  If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Mississippi Axe Throwing Company, LLC employees immediately; and,

4. I, for myself and on behalf of my heirs, beneficiaries, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Mississippi Axe Throwing Company, LLC, their members, officers, officials, agents and/or employees, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”) WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING OUT OF OR IN ANY WAY RELATED TO THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

November 22, 2019

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FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION): I, as parent/guardian, warrant, covenant, and agree that I am over the age of 18 and have full legal authority to act, contract, release, and give consent on behalf of the minor participant and do hereby so act, contract, release, and give consent to his/her release, as provided above, of all the Releasees, and, for myself, my child and our heirs, beneficiaries, 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 activities arising out of or in any way related to the Releasees as defined above, EVEN IF ARISING OUT OF OR IN ANY WAY RELATED TO THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
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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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