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ICE PALACE MAZE

RISK FOR COVID-19 / ACCIDENT WAIVER RELEASE OF LIABILITY

Dear Valued Patron,

The health and safety of our patrons, artists, and staff is our top priority. What’s expected of attendees:

Remember to bring your mask, and keep your group 6 feet from other groups. No outside coolers or food allowed. You are solely responsible for assessing and implementing the appropriate safety and security measures for yourself. Your participation in safe practices is required. Continued violation of social distancing and unsafe practices may cause you to be asked to leave the event.

The World Health Organization, Center for Disease Control and the Minnesota Department of Health all have resources and guidelines available to understand the risks of attending events. Your understanding of this information provided by the above-mentioned agencies is your responsibility. We continue to follow the guidance and recommendations of the Minnesota Department of Health.

We require that attendees self-certify that they do not have symptoms, have not been diagnosed with or had direct contact with a known or suspected COVID-19 case in the past 14 days, and will comply with the event’s safety policies and procedures including wearing face coverings if desired or mandated by the MN Dept. of Health and/or the City of Stillwater MN, physical distancing, and other determined requirements. Violation of policies will cause removal from the event.

To ensure the safety of our staff and guests, we are asking you to assess any symptoms you may have prior to attending. Please review each symptom listed below and answer “yes” or “no” if this is a symptom that you are experiencing and cannot attribute to another health condition.

Do you have:

  • Fever or feeling feverish?
  • Chills?
  • A new cough?
  • Shortness of breath?
  • A new sore throat?
  • New muscle aches?
  • New headache?
  • New loss of smell or taste?

If you answered “Yes” to any of the symptoms listed above, please reschedule your visit.

COVID-19 waiver:

By purchasing a ticket and/or attending an event I automatically accept the Assumption of Risk and Waiver of Liability Relating to Coronavirus/COVID-19.

Assumption of Risk and Waiver of Liability Relating to Coronavirus/COVID-19 the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. I understand and recognize that preventative measures have been put in place to reduce the spread of COVID-19; however, I may become infected with COVID-19. Further, attending events could increase my risk of contracting COVID-19. By purchasing a ticket, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk of being exposed to or infected by COVID-19 by attending events and that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 at the event may result from the actions, omissions, or negligence of ticket holders and others, including, but not limited to, employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the event or participation in concert programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Only A Dim Image Productions DBA The Zephyr Theatre, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Only a Dim Image Productions DBA The Zephyr Theatre, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any event program.

Accident Waiver:

By purchasing a ticket and/or attending an event I accept the Assumption of Risk and Waiver of Liability Relating to Personal Injury and Accidents.

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I am physically fit, have sufficiently prepared for participation in this event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this event. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the event in which I may participate, and that it will govern my actions and responsibilities at said event. In consideration of my attendance or participation in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Only A Dim Image Productions, DBA The Zephyr Theatre and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and property owners.

(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this event, whether caused by the negligence of release or otherwise.

I acknowledge that Only A Dim Image Productions, DBA The Zephyr Theatre and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this event may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the event. These risks are not only inherent to participants, but are also present for volunteers.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during an event. I understand that while participating in an event, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns.

This Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I ACCEPT AND AGREE TO IT OF MY OWN FREE WILL.

First Patrons Name

First Name*

Last Name*
First Patrons Date of Birth*
I certify that I am 18 years of age or older
First Patrons Signature*
Second Patrons Name

First Name*

Last Name*
Second Patrons Date of Birth*
Third Patrons Name

First Name*

Last Name*
Third Patrons Date of Birth*
Fourth Patrons Name

First Name*

Last Name*
Fourth Patrons Date of Birth*
Fifth Patrons Name

First Name*

Last Name*
Fifth Patrons Date of Birth*
Sixth Patrons Name

First Name*

Last Name*
Sixth Patrons Date of Birth*
Seventh Patrons Name

First Name*

Last Name*
Seventh Patrons Date of Birth*
Eighth Patrons Name

First Name*

Last Name*
Eighth Patrons Date of Birth*
Ninth Patrons Name

First Name*

Last Name*
Ninth Patrons Date of Birth*
Tenth Patrons Name

First Name*

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

Email
A signed copy of this waiver will be sent to the email address you provide.
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*
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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