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Release of Liability
Ponca City Main Street
Ice on the Plaza

 

  • Participant and/or their parent(s) or guardian understands, acknowledges, and agrees that ice skating is an inherently dangerous and physically demanding activity.

  • Participating skater assumes full responsibility for any risk of injury, property damage, or death while participating in activities at this establishment.

  • Participant and/or their parent(s) or guardian hereby waive any and all claims including, but not limited to, bodily injury including death and property damage they may have against Ice on the Plaza, Ponca City Main Street Authority, Inc., The City of Ponca City  and all sponsors of the synthetic ice rink establishment and their subsidiaries, affiliates, partners, officers, directors, employees, agents, and volunteers arising out of Participant's use of the ice skating rink and all surrounding areas.

  • Participants and/or their parent(s) or guardians hereby release and hold harmless Ice on the Plaza, Ponca City Main Street Authority, Inc., The City of Ponca City  and all sponsors of the synthetic ice rink establishment and their subsidiaries, affiliates, partners, officers, directors, employees, agents, and volunteers from any and all liability for any loss, damage, or expense that the participants or their respective heirs, assigns and legal representatives may suffer as a result of participant's use of the synthetic ice skating rink, from any cause whatsoever, including but not limited to, negligence or breach of contract on the part of Ice on the Plaza, and all sponsors of the synthetic ice rink establishment, in the operation, supervision, design, maintenance, or condition of the ice surface, or of the synthetic ice rink and all surrounding areas.

  • Participant agrees to abide by the "Code of Skater Responsibility", as posted within the synthetic ice rink area, for the use of the synthetic ice-skating rink and will follow the instructions of the operating staff of the rink. Failure to follow these codes of conduct may result in the termination of participant's use of the synthetic ice-skating rink, the rental ice skates, and the surrounding areas without refund.

  • Participant permits Ice on the Plaza, Ponca City Main Street Authority, Inc., The City of Ponca City to use any photographs, videotapes, recordings, or any other records taken while on the ice-skating rink premises for publicity, advertising, or any other legitimate purpose.


Date signed: November 23, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
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Zip Code

Home Address Zip Code *
Skater Age Range
Skater Age *
12 years or less
13-18 years
19-35 years
35-64 years
65+
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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