Loading...

SKATING RINK
RELEASE AND WAIVER OF CLAIMS

ASSUMPTION OF RISK

Participant and/or Participant’s parent(s) or guardian (collectively “Releasing Party”) represents and warrants that Releasing Party is  physically and mentally fit to participate in the Skating Rink and related activities.  Releasing Party agrees to abide by all safety guidance and other instructions and will excise care to avoid all hazards and understands and agrees that attendees that appear to be under the influence of alcohol or any illegal drugs, or who refuse to abide by safety guidance and other instructions, shall not be permitted to participate in the Skating Rink and related activities.  Releasing Party further acknowledges that photos will be taken at the Skating Rink and used without compensation in any and all print and  electronic media, including online.

RELEASING PARTY IS AWARE AND UNDERSTANDS THAT THE SKATING RINK AND RELATED ACTIVITIES CONTAIN DANGERS AND/OR INVOLVE THE RISK OF SERIOUS INJURY, DEATH AND/OR PROPERTY DAMAGE. RELEASING PARTY ACKNOWLEDGES THAT HE/SHE IS VOLUNTARILY PARTICIPATING IN THE SKATING RINK ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREES TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH AND/OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF PALMER SQUARE MANAGEMENT, LLC AND/OR NILP, LLC, OR OTHERWISE.

RELEASE AND WAIVER OF CLAIMS AGREEMENT

In allowing Releasing Party to participate in Skating Rink and related activities for the Season (November 30, 20019-February 29, 2020), Releasing Party hereby expressly waives any and all rights or claims he/she may have against Palmer Square Management, LLC, NILP, LLC and their affiliates, directors, officers, employees, members, staff, subsidiaries, agents, volunteers and all individuals assisting in instructing, sponsoring and conducting the Skating Rink and related activities, and hereby fully releases and discharges them from any and all claims resulting from injuries, including death, damages or loss, which may accrue to Releasing Party or his/her heirs arising out of or in any way connected with my participation in the Skating Rink and related activities. Releasing Party further agrees to indemnify, defend and hold harmless Palmer Square Management, LLC and NILP, LLC, their affiliates, directors, officers, employees, members, staff, subsidiaries, agents, volunteers and all individuals assisting in instructing, sponsoring and conducting the Skating Rink and related activities, from any and all claims resulting from injuries, including death, damages or loss, which may accrue to Releasing Party or his/her heirs. This Release and Waiver shall be enforceable to the fullest extent permitted by law and if any portion is held invalid, the remainder shall not be affected and shall continue in full legal force and effect. The terms of this Release and Waiver shall be interpreted under New Jersey law and shall continue from this date forever. This document constitutes the entire agreement between Releasing Party and Palmer Square Management, LLC and NILP, LLC, and supersedes any previous discussions or agreements with respect to the Skating Rink and related activities.

ACKNOWLEDGEMENT AND CONSENT TO RELEASE AND WAIVER

I HEREBY ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD, AND AGREE TO ALL OF THE TERMS OF THIS RELEASE AND WAIVER.

Today's Date: December 10, 2019

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*
Parent or Guardian's Email Address

Email*

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
I, as parent or guardian with legal responsibility for Minor Participant, do consent and agree to the Release and Waiver of Claims provided above on behalf of Minor Participant and myself. I agree that I will not leave the Skating Rink area and will remain close enough to supervise and remain responsible for Minor Participant’s safety and welfare.
Parent or Guardian's Name

First Name*

Last Name*
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