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Golden Axe Throwing

145 W Pierpont Ave

Salt Lake City, UT 84101

 

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK 

                                                                                          

In consideration of the services of Golden Axe Throwing and Williams Entertainment Group, their agents, owners, officers, managers, volunteers, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "GA"), I hereby agree to release, indemnify, and discharge GA, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

 

I acknowledge that my participation in amusement center activities which include axe throwing, miniature golf and other amusment activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties.  I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. 

 

The risks include, among other things: slipping and falling; collision with fixed objects or people or thrown objects; falling off of or being thrown from any unit; strains, sprains, broken bones, concussions, and musculoskeletal injuries including head, neck, and back injuries; cuts, rope burns, abrasions, bruises, cardiac related illness or even more severe life threatening hazards; exhaustion; exposure to temperature and weather extremes which could cause hyperthermia (heat related illnesses), heat exhaustion, dehydration; the negligence of participants, or other persons who may be present; equipment failure or operator error; my own physical condition, and the physical exertion associated with this activity.  Furthermore, GA personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions.  They may give incomplete warnings or instructions, and the equipment being used might malfunction.

       

2.    I expressly agree and promise to accept and assume all of the risks existing in this activity.  My participation in this activity is purely voluntary and I elect to participate in spite of the risks.

 

3.    I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless GA 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 GA’sequipment or facilities, including any such claims which allege negligent acts or omissions of GA.

 

4.    Should GA or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

 

5.    I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

 

6.    In the event that I file a lawsuit against GA, I agree to do so solely in the state of Utah, and I further agree that the substantive law of that stateshall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

            

By signing this document, I acknowledge that if 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 GA on the basis of any claim from which I have released them herein.  I have had sufficient opportunity to read this entire document.  I have read and understood it, and I agree to be bound by its terms. I also agree that this document is valid for subsequent visits and participation at GA.

 

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*

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

First Name*

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

First Name*

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

First Name*

Middle Name

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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*

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

First Name*

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

First Name*

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

First Name*

Middle 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:*
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State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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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