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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

Section A. 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.

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 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, 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 by myself or any child listed on this form, whether arising from the negligence of Dragon’s Lair, 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.

I further agree to defend, indemnify and hold harmless Dragon’s Lair, 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, 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     

 

Section B. DRAGON'S LAIR COVID-19 RELEASE OF LIABILITY AGREEMENT

In consideration of being permitted to participate, compete, officiate, observe, or work, in any way in DRAGON’S LAIR, I for myself, any minors named on this form, my personal representatives, heirs, and next of kin:

1. Affirm that I have not been diagnosed with, demonstrated any symptoms of or have in any way been exposed to any communicable diseases (including but not limited to the virus commonly referred to as COVID-19) within the past thirty days;

2. Agree that I will not attend DRAGON’S LAIR in any capacity if I have symptoms of COVID-19 as outlined by the Centers for Disease Control and Prevention (CDC), until cleared by a Doctor.

3. Acknowledge that I am aware that by entering the premises and participating in DRAGON’S LAIR  that there are risks to me and to those with whom I interact of exposure, directly or indirectly, to communicable disease(s) including but not limited to the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, “COVID-19” and/or any mutation or variation thereof; 

4. Acknowledge that DRAGON’S LAIR cannot guarantee that I will not become infected with COVID-19 or any mutation or variation thereof; I understand that the risk of becoming exposed to and or infected with COVID-19 or any mutation or variation thereof may result from the actions, omissions, or negligence of myself and others, including, but not limited to DRAGON’S LAIR staff, and other DRAGON’S LAIR participants and their families; I voluntarily seek services provided by DRAGON’S LAIR and acknowledge that I am increasing my risk and exposure to COVID-19; I acknowledge that I must comply with all set procedures to reduce the spread while attending DRAGON’S LAIR;

5. Hereby voluntarily agree to RELEASE, WAIVE, DISCHARGE, COVENANT NOT TO SUE, and to hold DRAGON’S LAIR HARMLESS from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, failure to act, or negligence of DRAGON’S LAIR, or that may otherwise arise in any way in connection with any services received from DRAGON’S LAIR. I understand that this release discharges DRAGON’S LAIR from any liability or claim that I, my heirs, or any personal representatives may have against DRAGON’S LAIR with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from DRAGON’S LAIR. This liability waiver and release extends to DRAGON’S LAIR together with all owners, partners, and employees;

6. Hereby agree to INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage, or cost they may incur arising out of or related to my illness or death, whether caused by the negligence of the Releasees or otherwise.

 

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 AS OUTLINED IN BOTH SECTION A AND SECTION B, 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*
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*
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*

Last Name*

Relationship*

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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