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Lumberjaxe Condition Of Entry before starting your Axe Throwing Session

 

 

Axe Throwing Agreement & Liability Waiver Warning!

You’re Throwing Sharp, Pointy, Deadly Things… Throwing Axes is Hazardous to Your Health. Serious Injury and/or Death Can Occur… PLEASE READ CAREFULLY!

Release of liability, waiver of claims, assumption of risks and indemnity agreement. By initializing and/or signing this document you are waiving certain legal rights, including the right to sue.

 

 I wish to participate in Lumberjaxe Axe Throwing & Smash Rooms at 6 Bredbo Street, Lonsdale, SA, 5160. I am aware that the activity is HAZARDOUS, physically strenuous and involves certain risks. Those risks include but are not limited to; the risk of property damage, serious injury, paralysis, permanent disability, loss of limbs resulting from my negligence and/or others, malfunction of the equipment and injuries resulting from the throwing instruments (axes, knives, stars, etc.) and/or other participants not using proper safety procedures. In addition, I recognize that throwing axes could result in permanent injury or death. I also understand that there is an inherent risk of injury to myself and others from these factors, from the equipment, and from other players and even though the activity is supervised by Lumberaxe Axe Throwing personnel that I am solely responsible for the safety, and wellbeing of myself and the minors in my care. Despite these and other risks, and with full understanding of such risks, I wish to participate in the axe throwing and hereby assume the risks. I hereby hold Lumberjaxe Axe Throwing (Operator) harmless and indemnify them against any or all claims, action suits, procedures, cost expenses (including attorney’s fees and expenses), damages and liabilities arising out of, connected with, or resulting from axe throwing. Including without limitation, those resulting from the manufacture, selection delivery, possession, use or operation of such equipment. I understand that it is recommended that I have accidental medical coverage and agree that if I do not have accidental medical coverage, I will be financially responsible for any and all charges and fees incurred in the rendering of said treatment. In case of an injury, I authorize the staff of Lumberjaxe Axe Throwing to render first aid and I hereby authorize the Lumberjaxe Axe Throwing staff to act for me in case of an emergency. I also waive and release Lumberjaxe Axe Throwing from any and all liability for any and all injuries and illness that occur while participating in axe throwing. I agree to obey the Safety Instructions and Rules and to further use the equipment so as not to injure myself or others. I agree that my right to participate in axe throwing and use the equipment may be terminated without refund if I fail to follow such Safety Instructions and Rules. I accept full responsibility for return of all equipment in good condition or to pay replacement cost upon termination of the game. I, on behalf of myself, my estate, heirs, executors, administrators and assigns do hereby indemnify the owners of Lumberjaxe Axe Throwing their suppliers, and their respective agents, officers and employees from any and all claims, actions, lawsuits, procedures, costs, expenses, damages and/or liabilities whatsoever connected with, or resulting from axe throwing or spectating and from the use of equipment or premises whether resulting from the negligence of any party or otherwise. I further agree to indemnify the same said parties against any and all liabilities that may arise between myself and a third party. I have read and fully understand this “Axe Throwing Agreement and Liability Waiver” and recognize that it is legally binding contract. If I have any doubts concerning any aspect of its content, I will not participate until I obtain legal advice. I certify that I am at least 18 years of age (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement. Photo & Video Release: I hereby irrevocably grant Lumberjaxe Axe Throwing, its successors and partners the right to record my likeness and/or voice on tape, film or digital media. I also allow them to edit such tape, film, or digital media at their discretion and to incorporate the same into video, TV, radio, web or print advertisement, or video for Lumberjaxe Axe Throwing promotions without payment of fees. Participant’s Information:  

Personal Responsibility with Alcohol: Consumption of alcohol at the Lumberjaxe Axe Throwing venue is not permitted. I agree that any alcoholic beverages I consume before entering Lumberjaxe Axe Throwing and after are of my own choice and responsibility.  I agree to heed advice from others and agree not to participate in Axe throwing at Lumberjaxe or drive if I am intoxicated. I agree to follow all instruction of The Lumberjaxe Axe Throwing staff. Lumberjaxe Axe Throwing reserves the right to refuse the participation of Axe throwing if customers are intoxicated before entering the premises. I alone am responsible for all of my actions resulting from consuming alcohol before entering Lumberjaxe Axe Throwing venue. Signing of this waiver releases any responsibility of lumberjaxe Axe Throwing for any damages, loss of property, injury or death due to my actions from consuming alcohol.

 

 

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, do consent and agree to his/her release as provided above of all the releases, and for myself, my heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless Cache Valley Fun Park from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. Please ensure the child's name is entered above as a “Participant.” I declare I am the legal parent/guardian of this minor child.

 

Please Note: Waivers are kept on file and contract remains valid until written notice is received to terminate such agreement.

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or responsible attending adult(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*

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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