Loading...

RELEASE OF LIABILITY, WAIVER, AND ASSUMPTION OF RISK

I desire to participate in the Activity on the date as set out below, which has been organized by the Releasees. In consideration for being allowed to participate in the Activity on the date as set out below, which consideration is hereby expressly accepted and acknowledged on behalf of myself, my representatives, heirs, agents, administrators, trustees, executors, assigns, successors, and on behalf of any party or parties who claim a right or interest through me (hereinafter, the “Releasor”), I HEREBY RELEASE, ACQUIT, AND FOREVER DISCHARGE, WITHOUT QUALIFICATION OR LIMITATION the Releasees from any and all claims I may now and/or in the future may have against the Releases, from any and all liability, for any personal injury, death, and/or property damage, expense, and/or loss sustained by me as a result of my participation in the Activity due to any cause whatsoever, including by not limited to and without limitation, negligence, gross negligence, dangers, and/or hazards of participating in the Activity, and/or breach of statutory or other duty, including duties arising from occupier’s liability legislation.

THE RELEASOR ACKNOWLEDGES AND ACCEPTS that the Activity is inherently risky and dangerous and there is a possibility of personal injury, death, property damager and/or loss resulting therein.

THE RELEASOR CERTIFIES that he/she is physically fit for participation in this activity and has not been advised to not participate by a qualified medical professional. He/she certifies that there are no health-related reasons or problems that preclude participation in this activity.

THE RELEASOR AGREES AND UNDERSTANDS that, in order to participate in the Activity on the date set out below, he/she must agree to be bound by the terms of this Release of Liability, Waiver, and Assumption of Risk.

THE RELEASOR HEREBY confirms that, by executing this Agreement, he/she is representing that he/she is of the full age of majority OR that he/she is the parent or legal guardian of the person participating in the Activity, and that he/she has read, and understands, this Agreement. The Releasor acknowledges that he/she is not under the influence of any substances, including alcohol, illicit drugs, or prescription drugs, which may affect or impair his/her motor skills, judgement, or general ability to think clearly. IT IS AGREED AND UNDERSTOOD that the Releasor will not make any claim or take any proceedings against any other person or corporation who might claim, in any manner or forum, contribution or indemnity in common law or in equity.

IT IS AGREED AND UNDERSTOOD that if the Releasor commences such an action, or takes such proceedings, and the Releasees are added to such proceeding in any manner whatsoever, whether justified in law or not, the Releasor will immediately discontinue the proceedings and/or claims, and the Releasor will be jointly and severally liable to the Releasees for the legal costs incurred in any such proceeding, on a substantial indemnity basis. This Release of Liability, Waiver, and Assumption of Risk shall operate conclusively as an estoppel in the event of any claim, action, complaint, or proceeding which might be brought in the future by the Releasor with respect to the matters covered by this Release or Liability, Waiver, or Assumption of Risk. This Release of Liability, Waiver, and Assumption of Risk may be pleaded in the event any such claim, action, complaint or proceeding is brought, as a complete defense and reply, and may be relied upon in any proceeding to dismiss the claim, action, complaint or proceeding on a summary basis and no objection will be raised by the Releasor in any subsequent action that the other parties in the subsequent action were not privy to formation of this Release.

THE RELEASOR ACKNOWLEDGES that this Release of Liability, Waiver, and Assumption of Risk contains the entire Agreement between the parties hereto, that the terms of this Release of Liability, Waiver, and Assumption of Risk are contractual, are not a mere recital, and any breach of these terms may be enforced against the Releasor, and may give rise to a damage claim against the Release enforceable by a further legal proceeding. The Releasor further acknowledges that the Releasees have not made any oral, written, or visual representations or statements that are not otherwise reflected in this Agreement.

THE RELEASOR HEREBY AGREES that this Release of Liability, Waiver, and Assumption of Risk will be governed by the Laws of the State of Texas and that any dispute arising from this Release of Liability, Waiver, and Assumption of Risk will be adjudicated by the court of jurisdiction in Texas and the Releasor hereby attorns to the exclusive jurisdiction of this Court for this purpose.

PHOTOGRAPHS, VIDEOS, AND RECORDINGS Releasor hereby grants Schulman’s Movie Bowl Grille, its managers, employees, and owners (collectively) non-revocable permission to capture his/her image and likeness in photographs, videotapes, recordings, or any other media (collectively “images”). Releasor acknowledges that Schulman’s Movie Bowl Grille will own such images and further grants Schulman’s Movie Bowl Grille permission to copyright, display, publish, distribute, use, modify, print, and reprint such images in any manner whatsoever related to said business, including, but not limited to, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. Releasor further waives any right to inspect or approve the use of the image prior to its use.

Today's Date: October 5, 2024

First Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

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

First Name*

Last Name*

Emergency Contact's Phone Number*
Activity Details
Activity Participating:
Rock Climbing
Ropes Course
Axe Throwing
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!