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On Ice Rinks 

Waiver

Spectator or Participant (hereafter referred to as Participant) and/or Participant's parent(s) or guardian acknowledge that ice skating, riding bumper cars, and entering San Mateo on Ice’s site are inherently dangerous activities that involve risk of illness (including COVID-19), accident, property damage, serious bodily injury and death. By signing this Release, Participant, and/or Participant's parents(s) or guardian, assume full responsibility for any risk of injury, illness (including COVID-19), property damage, or death arising out of Participant's use, entering of San Mateo on Ice, or Bumper Cars on Ice (hereafter referred to as Rink). Participant agrees that San Mateo on Ice, Bumper Cars on Ice, including without limitation, all affiliates, divisions of On Ice Rinks, officers, attorneys, employees, agents, assigns, representatives, or successors (collectively San Mateo on Ice) are not responsible for any injury, illness (including COVID- 19), or damages of Participant arising out of, or related to, Participant's use or entering of Rink. Participant and/or Participant's parent(s) or guardian (collectively "Releasing Parties") hereby waive, release, and forever discharge any and all claims for damages, loss, personal injury, illness (including COVID-19), or death that Releasing Parties may encounter related to or arising out of Releasing Parties' presence or activities at the Rink. This Release is intended to fully and completely discharge San Mateo on Ice and all sponsors of San Mateo on Ice and their subsidiaries, affiliates, partners, officers, directors, employees, agents, volunteers, and the City of San Mateo from any and all liability for any loss, damage, or expense that Releasing Parties or Releasing Parties' respective heirs, assigns and legal representatives may suffer as a result of Releasing Parties' use of the Rink and surrounding areas, from any cause whatsoever, including without limitation, any act, omission, error, negligence or breach of contract on the part of San Mateo on Ice or any sponsors of the Rink, in the operation, supervision, design, maintenance, or condition of the Rink and all surrounding areas. This release is intended to be as broad and inclusive as permitted by law, and is intended to be effective and binding upon Releasing Parties' heirs, next of kin, families, relatives, guardians, conservators, executors, administrators, trustees and assigns. Participant certifies that: (a) Participant has been advised to consult a physician before using the Rink; (b) Participant is in good physical health sufficient to use the Rink and not experiencing symptoms associated with COVID-19 or any other infectious disease; (c) Participant is not under the influence of alcohol or any illegal drugs; and (d) Participant is not taking any medication that would prevent Participant from safely using the Rink. Participant and/or Participant's parent(s) or guardian(s) agree to follow all rules posted at the Rink and surrounding areas, and instructions from the operating staff of the Rink. Participant’s failure to follow the rules posted at the Rink and surrounding areas, or instructions from the operating staff of the Rink may result in the termination of Participant's use of the Rink, surrounding areas, and rental skates without refund. Releasing Parties agree to, at Releasing Parties' sole expense, and with legal counsel reasonably acceptable to San Mateo on Ice, defend, indemnify and hold harmless San Mateo on Ice from and against any and all accidents, injuries, illness (including COVID-19), liability, claims, costs or expenses related to any act, error, omission, or negligence of Releasing Parities, arising out of, or related to, Releasing Parties' use or entering of the Rink and surrounding areas. Releasing Parties hereby authorize San Mateo on Ice to use any photographs, videotapes, recordings or any other records taken of Releasing Parties while at the Rink and surrounding areas for publicity, advertising, or any other legitimate purpose. BY SIGNING THIS RELEASE, I UNDERSTAND THAT I AM RELEASING SAN MATEO ON ICE, ALL SPONSORS OF THE RINK, and THE CITY OF SAN MATEO FROM ANY POTENTIAL CLAIMS FOR DAMAGES CAUSED BY ANY ACT, ERROR, OMISSION OR NEGLIGENCE OF SAN MATEO ON ICE OR OTHER SPONSORS.

This is to certify that I, as parent or guardian with legal responsibility for the Participant, do consent and agree to his/her release as provided above.

Today's Date: October 24, 2021

First Skaters and Spectators Name

First Name*

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

First Name*

Last Name*
Second Skaters and Spectators Date of Birth*
Third Skaters and Spectators Name

First Name*

Last Name*
Third Skaters and Spectators Date of Birth*
Fourth Skaters and Spectators Name

First Name*

Last Name*
Fourth Skaters and Spectators Date of Birth*
Fifth Skaters and Spectators Name

First Name*

Last Name*
Fifth Skaters and Spectators Date of Birth*
Sixth Skaters and Spectators Name

First Name*

Last Name*
Sixth Skaters and Spectators Date of Birth*
Seventh Skaters and Spectators Name

First Name*

Last Name*
Seventh Skaters and Spectators Date of Birth*
Eighth Skaters and Spectators Name

First Name*

Last Name*
Eighth Skaters and Spectators Date of Birth*
Ninth Skaters and Spectators Name

First Name*

Last Name*
Ninth Skaters and Spectators Date of Birth*
Tenth Skaters and Spectators Name

First Name*

Last Name*
Tenth Skaters and Spectators Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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*
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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