Loading...

Release of Liability, Waiver, and Assumption of Risk Agreement

The individual listed under “Participant Information” (referred to as “Participant”) on this Release of Liability, Waiver, and Assumption of Risk Agreement (this “Agreement”) desires to participate in axe or knife throwing (including lessons, services, leagues, and activities), or be present in the facility where it is occurring, (the “Activity” or “Activities”) provided by Granite City Jump, LLC, a Minnesota limited liability company, dba, Nice Axe, (the “Company”). As lawful consideration for the intangible value that Participant will gain by being permitted by the Company to participate in the Activity, Participant agrees to all the terms and conditions set forth herein.

     PARTICIPANT IS AWARE AND UNDERSTANDS THAT THE ACTIVITIES ARE DANGEROUS ACTIVITIES AND INVOLVE THE RISK OF SERIOUS INJURY AND/OR DEATH AND/OR PROPERTY DAMAGE. RISKS MAY ARISE OUT OF CONTACT AND/OR PARTICIPATION WITH OTHER PARTICIPANTS, EQUIPMENT, AND OTHER MISHAPS. RISKS MAY BE CAUSED BY THE PARTICIPANT’S OWN ACTIONS OR INACTIONS, THE ACTIONS OR INACTIONS OF OTHER PARTICIPANTS, THE CONDITION OF THE FACILITIES IN WHICH THE ACTIVITIES TAKE PLACE, AND/OR THE NEGLIGENCE OF THE RELEASEES (AS DEFINED BE-LOW). PARTICIPANT ACKNOWLEDGES THAT ANY INJURIES THAT PARTICIPANT SUSTAINS MAY BE COMPOUNDED BY NEGLIGENT EMERGENCY OPERATIONS OF THE COMPANY. PARTICIPANT ACKNOWLEDGES THAT HE OR SHE IS IN GOOD HEALTH, AND HAS NO PHYSICAL OR MENTAL LIMITATIONS THAT WOULD PRECLUDE SAFE PARTICIPATION AND PARTICIPANT ACKNOWLEDGES THAT HE OR SHE IS QUALIFIED TO PARTICIPATE IN THE ACTIVITIES AND IS VOLUNTARILY PARTICIPATING IN THE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREES TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY, OTHER PARTICIPANTS IN THE ACTIVITY, OR OTHERWISE.

     Participant is aware and understands that alcohol and/or ANY mood altering chemicals including, but not limited to, drugs, narcotics, marijuana, over-the-counter medications, pharmaceutical medications are not allowed on the premises. Participant agrees to assume all risks, known and unknown, related to consuming alcohol and/or ANY mood altering chemicals including, but not limited to, drugs, narcotics, marijuana, over-the-counter medications, pharmaceutical medications prior to or during Participant’s participation in the Activities and agrees to be fully responsible and liable for all claims, demands, damages, losses, injuries, liabilities, obligations, costs, or expenses of any kind which may arise due to Participant’s consumption of such alcohol and/or ANY mood altering chemicals including, but not limited to, drugs, narcotics, marijuana, over-the-counter medications, pharmaceutical medications.

     Participant acknowledges and accepts that in order for the Participant’s participation in the Activity on the date set out below, the Participant must agree to be bound by the terms of this Agreement.

     Participant hereby expressly waives and releases any and all claims, now known or hereafter known in any jurisdiction, against the Company, and its owners, officers, directors, employees, agents, affiliates, members, successors, assigns, owners and/lessors of the premises used conduct the Activity (collectively, “Releasees”), on account of all injury, death, or property damage arising out of or attributable to the Activities, whether arising out of the negligence, gross negligence, willful misconduct, including failure to take reasonable steps to safeguard or protect the Participant from the risk, dangers, and/or hazards of participating in the Activity, and/or breach of statutory or other duties, including duties arising from premise liability, of the Company or any Releasees or otherwise. Participant covenants not to make or bring any such claim against the Company or any other Releasees, and forever release and discharge the Company and all other Releasees from liability under such claims, including any claims for contributory negligence. This Agreement shall operate conclusively as an estoppel in the event of any claim, action, complaint, or proceeding which might be brought in the future by this Participant with respect to the Activity or other matters covered by this Agreement. This Agreement may be pleaded in the event any such claim, action, complaint, or proceeding is brought, as a complete defense and reply, and may be relied upon in any proceeding to dismiss the claim, action, complaint, or proceeding on a summary basis and no objection will be raised by the Participant or anyone else on behalf of the Participant in any subsequent action that the other parties in the subsequent action were not privy to formation of this Agreement.

     Participant shall defend, indemnify, and hold harmless the Company and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorney fees, fees and the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers, arising out or resulting from any claim, whether asserted by the Participant or by a third party, related to Participant’s involvement in the Activities.

     This Agreement constitutes the sole and entire agreement of the Company and Participant with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. The terms of this Agreement are contractual, are not a mere recital, and any breach of the terms of this Agreement may be enforced against Participant and may give rise to a damage claim against the Participant enforceable by a further legal proceeding. If any term or provision of this Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall inure to the benefit of the Company and Participant and their respective successors and assigns. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of Minnesota without giving effect to any choice or conflict of law provision or rule (whether of the State of Minnesota or any other jurisdiction). Any controversy or claims arising out of or relating to this Agreement or the performance thereunder, including, without limitation, any claims relating to bodily injury, property damage or death, shall be determined and settled by binding arbitration, which arbitration shall take place in Stearns County, Minnesota.

     Participant hereby grants the Company nonrevocable permission to capture the Participant’s image and likeness in photographs, videotapes, recording, or any other media (collectively, the “Images”). Participant acknowledges that the Company will own such Images and further grants the Company permission to copyright, display, publish, distribute, use, modify, and print such Images in any manner whatsoever related to the Company’s business, including without limitation, publications, advertisements, brochures, websites, or other electronic displays and transmissions thereof. Participant further waives any right to inspect or approve the use of the Images by the Company prior to its use. Participant forever releases and holds the Company harmless from any and all liability arising out of the use of the Images in any manner or media whatsoever, and waives any and all claims and causes of action relating to the use of the Images, including without limitation, claims for invasion of privacy rights or publicity.

     THIS IS A LEGALLY BINDING AGREEMENT. BY SIGNING THIS AGREEMENT, PARTICIPANT GIVES UP THE RIGHT TO BRING A COURT ACTION TO RECOVER COMPENSATION OR ANY OTHER REMEDY FOR INJURIES OR DEATH TO PARTICIPANT OR TO PARTICIPANT’S PROPERTY, ARISING OUT OF THIS ACTIVITY, NOW OR AT ANYTIME IN THE FUTURE.

     If I am executing this document as a parent/guardian of a minor child, I represent and warrant that I have the legal right to execute this Agreement on behalf of the minor and that the release, once executed by me, is fully enforceable in accordance with its terms. I agree to indemnify the Releasees in the event the representation is not accurate.

     By hitting Agree and Sign, Participant hereby consents to the use of his or her electronic signature in lieu of an original signature on paper. The Participant has the right to request that he or she sign a paper copy instead which is available at our location. By hitting Agree and Sign, the Participant is waiving that right. After consent, Participant may, upon written request to us, obtain a paper copy of an electronic record.

First Thrower's Name

First Name*

Last Name*
First Thrower's Date of Birth*
First Thrower's Signature*
Second Thrower's Name

First Name*

Last Name*
Second Thrower's Date of Birth*
Third Thrower's Name

First Name*

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

First Name*

Last Name*
Fourth Thrower's Date of Birth*
Fifth Thrower's Name

First Name*

Last Name*
Fifth Thrower's Date of Birth*
Sixth Thrower's Name

First Name*

Last Name*
Sixth Thrower's Date of Birth*
Seventh Thrower's Name

First Name*

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

First Name*

Last Name*
Eighth Thrower's Date of Birth*
Ninth Thrower's Name

First Name*

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

First Name*

Last Name*
Tenth Thrower's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
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 - TRY IT FREE!