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Mac's Roller Rink Waiver

MAC'S ROLLER RINK

PARTICIPANT WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK


In consideration of being allowed to participate in skating activities at Mac’s Roller Rink, I hereby acknowledge, understand, and agree to the following:


1. **Assumption of Risk**  

I understand that roller skating involves inherent risks of injury. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury that may result from participation.


2. **Release of Liability**  

I release and hold harmless Mac’s Roller Rink, its owners, employees, volunteers, and affiliates from any and all claims or liabilities arising from my participation, including but not limited to personal injury, property damage, or death, whether caused by negligence or otherwise.


3. **Rules and Safety**  

I agree to follow all posted and verbal safety rules and instructions. I understand that failure to do so may result in removal from the facility.


4. **Medical Emergencies**  

In the event of injury or illness, I authorize Mac’s Roller Rink staff to seek emergency medical care on my behalf.


5. **Photo/Video Release**  

I grant permission for my image or likeness to be used in promotional material, unless I opt out in writing.


6. **MINOR PARTICIPANT (If under 18)**  

I am the parent/legal guardian of the minor named below and give my consent for them to participate. I accept full responsibility for the risks and liability associated with their participation.

I Agree

August 17, 2025

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
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*
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
Parent or Guardian's Email Address
Email*
Confirm Email*
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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*
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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