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Release of Liability, Waiver of Claims, Assumptions of Risks, and Indemnity Agreement by Dragon's Lair Participant, or Participant's Parent/Legal Guardian

DRAGON'S LAIR RELEASE OF LIABILITY AGREEMENT 

I sign this liability release agreement both individually and as PARENT/GUARDIAN with legal authority and responsibility for the minor child named on this form. I certify that the child is in good physical condition. In case of personal injury during, before or after participation in this program, I hereby consent to treatment for those children by a medical doctor or member of Dragon’s Lair, LLC. 

On behalf of myself, any minor children named on this form and our heirs, assigns, personal representatives and next of kin,

(1) I acknowledge that participation in physical exercise under the direction of DRAGON'S LAIR, LLC in their various forms carries with it inherent risks, including but not limited to, the risk of personal injury, death or property damage and I voluntarily assume those risks. I know that the risks also include but are not limited to unusual physical changes, including but not limited to, abnormal blood pressure; fainting; disorders in heartbeat; heart attack; and, in rare instances, death.

(2) I release DRAGON'S LAIR, LLC its officers, agents, representatives, affiliated companies and/or employees, with respect to any and all liability, loss, damage, costs, claims, and/or causes of action, including but not limited to injury, disability, death, or loss or damage to person or property related in any way to participation in DRAGON'S LAIR, LLC by myself or any child listed on this form, whether arising from the negligence of DRAGON'S LAIR, LLC its officers, agents, representatives, affiliated companies and/or employees.

(3) I further understand that participation in physical exercise involves the risk of serious injury to all parts of the participant’s body.

(4) I agree that this agreement will be governed by Massachusetts law.

(5) I further agree to defend, indemnify and hold harmless DRAGON'S LAIR, LLC its officers, agents, representatives, affiliated companies and/or employees from any and all liabilities incident to the program of physical exercise, even if arising from the negligence of DRAGON'S LAIR, LLC its officers, agents, representatives, affiliated companies and/or employees, to the fullest extent permitted by law.

 

I Agree
     
 Parent/Guardian Signature required if under the age of 18   

 

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

I/WE HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 


First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
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*
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*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
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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