PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.
The person under 18 years of age who is participating in the rage/smash room and related activities (the “Activities”) using equipment (the “Equipment”) provided by the Axe-cade, LLC at 136 E. Main Street, Anamosa, Iowa shall be referred to as “MINOR PARTICIPANT”.
The PARENT and/or LEGAL GUARDIAN understands that the Activities and the use of the Equipment are dangerous activities and involve the significant risk of serious injury and/or permanent paralysis and/or death and/or property damage. Such risks may be foreseeable or unforeseeable, and may include, but are not limited to: Failure of any safety barriers or other safety measures, equipment malfunction, miss-thrown axes by employees or participants, mishandling of the Equipment by employees or participants, and other such risks, hazards and dangers that are integral to the use of the Equipment and to axe throwing, whether in an indoor axe throwing facility or outdoors. I also understand that alcoholic beverages may be consumed on the premises by other participants and spectators. I acknowledge that any injuries that MINOR PARTICIPANT sustains may be compounded by negligent emergency response or rescue operations of the company or others. I acknowledge that MINOR PARTICIPANT is voluntarily using the Equipment and participating in the Activities with knowledge of the danger involved and MINOR PARTICIPANT hereby agrees to accept and assume any and all risks of injury, death, or property damage, whether caused by the negligence of the company or otherwise.
In consideration for allowing the MINOR PARTICIPANT to participate in the ACTIVITY, THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN hereby ASSUMES ALL RISKS associated with the MINOR PARTICIPANT’s participation in the ACTIVITY. Additionally, THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN AGREES TO HOLD HARMLESS, DEFEND, AND INDEMNIFY Axe-cade, LLC, its insurance carriers, agents, employees, representatives, officers, directors, and member/owners (each hereinafter a "RELEASED PARTY") FOR ANY AND ALL LIABILITY and/or claims for injury or death to persons or damage to property arising from or relating to the UNDERSIGNED MINOR PARTICIPANT's participation in the ACTIVITY, including those claims based on any RELEASED PARTY's alleged or actual NEGLIGENCE or BREACH OF any express or implied WARRANTY.
THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN takes full responsibility for any injury or loss to MINOR PARTICIPANT, including death, which MINOR PARTICIPANT may suffer, arising in whole or in part out of the ACTIVITY. By signing this release, THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN AGREES that neither the undersigned or the MINOR PARTICIPANT will SUE any RELEASED PARTY and agrees they he/she is releasing any right to make a claim or file a lawsuit against any RELEASED PARTY. THE PARENT and/or LEGAL GUARDIAN further AGREES TO DEFEND AND INDEMNIFY each RELEASED PARTY for any and all claims of the MINOR PARTICIPANT and/or a THIRD PARTY arising in whole or in part from the MINOR PARTICIPANT’s participation in the ACTIVITY. THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN agrees to pay all costs and attorney’s fees incurred by any RELEASED PARTY in defending a claim or suit brought by or on behalf of the MINOR PARTICIPANT.
THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN represents that the MINOR PARTICIPANT is in good health and there are no special problems associated with his/her care. THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN authorizes any RELEASED PARTY and/or their authorized personnel to call for medical care for the MINOR PARTICIPANT or to transport the MINOR PARTICIPANT to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed. THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN agree that upon the MINOR PARTICIPANT's transport to any such medical facility or hospital that the RELEASED PARTY shall not have any further responsibility for the MINOR PARTICIPANT. Further, THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN agrees to pay all costs associated with such medical care and related transportation provided for the MINOR PARTICIPANT and shall hold harmless, release, defend, and indemnify the RELEASED PARTY from any costs incurred therein, or any claims arising therefrom.
In consideration for allowing the MINOR PARTICIPANT to participate in the ACTIVITY and for using Equipment, THE UNDERSIGNED PARENT and/or LEGAL GUARDIAN agree that ANY AND ALL CLAIMS for injury and/or death arising from the MINOR PARTICIPANT's participation in the ACTIVITY shall be GOVERNED BY IOWA LAW and EXCLUSIVE JURISDICTION of any claim shall be in the IOWA DISTRICT COURT in JONES COUNTY.
This release shall be binding to the fullest extent permitted by law. If any part of this release is deemed to be unenforceable, the remaining terms shall be an enforceable contract between the parties. This release shall be binding upon the MINOR PARTICIPANT, assignees, subrogors, distributors, heirs, next of kin, executors and personal representatives of THE MINOR PARTICIPANT and the PARENT and/or LEGAL GUARDIAN.
I HAVE CAREFULLY READ THE FOREGOING LIABILITY RELEASE, UNDERSTAND ITS CONTENTS, AND AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS THAT I OTHERWISE MAY HAVE.
Date: August 19, 2022