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Temecula On Ice

41902 Main Street  

Temecula, CA 92590 

 


 

ADULT & PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, AND ASSUMPTION OF RISK AGREEMENT

FOR GOOD AND VALUABLE CONSIDERATION, including permission for myself and the minor(s) listed below (“Minor(s)”) to skate and otherwise participate in related activities at Temecula On Ice, I, for myself, my successor, heirs, assigns, executors, and administrators, and as the parent/guardian of the Minor(s) on behalf of the Minor(s):

1.  Agree that prior to participating in the event or activity, prior to providing consent to the Minor(s)’s participating in the event or activity, and  prior to my participation and/or the Minor(s)’s participation in the event or activity, the Minor(s) and I will inspect the facilities, equipment, and areas where the event or activity is being conducted and, if either of us believes any of them are unsafe, I will immediately advise the person supervising the event, activity, facility or area;

2.  Acknowledge that the Minor(s) and I fully understand that my participation and/or the Minor(s)’s participation may involve risk of serious injury or death, including economic losses, which may result not only from my or  the Minor(s)’s own actions, in-actions, or negligence, but also from the actions, in-actions, or negligence of others, the condition of the facilities equipment, or areas where the event or activity is being conducted, the rules of play, or this type of event or activity;

3.  Release, waive, discharge and relinquish Seaside Ice, LLC dba Ice-America, Ice-World International, All Access Staging & Productions, The City of Temecula, its representatives, (“The Releasees”) and their respective officers, shareholders, members, directors, insurers, employees, and agents from any and all liability, loss, damage, claim, demand or cause of action brought against them attributable to my or the Minor(s)’s participation in the event or activity, whether same shall arise by their negligence or otherwise;

4.  Assume any and all risks of personal injuries to myself and/or the Minor(s) and authorize The Releasees, to contact or employ a licensed physician to render any medical treatment that may be deemed necessary for me and/or the Minor(s) or to take and admit me and/or the Minor(s) to any hospital. If such medical treatment or hospitalization is required, I agree to pay all medical and hospital bills relating thereto, and agree to pay all damages relating to my and/or the Minor(s)’s permanent or partial disability or death, and any other damages to me and/or the Minor(s), and any other damages to my or the Minor(s)’s property, caused by or arising from my participation or the Minor(s)’s participation in the event or activity;

5.  Covenant not to sue or present any claim for personal injury, property damage, or wrongful death for or on behalf of myself or the Minor(s) against The Releasees attributable to my or the Minor(s)’s participation in the event or activity;

6.  Agree that photographs, pictures, slides, movies, or videos of myself and/or the Minor(s) may be taken in connection with my or the Minor(s)’s participation in the event or activity, and consent to the use of such photographs, pictures, slides, movies, or videos for any legal purpose, without compensation from The releasees. Further consent that my identity and/or the Minor(s)’s identity may be revealed either therein, or by description, text, commentary, or otherwise, and waive any and all rights, claims or interest in such photographs, pictures, slides, movies, videos, description, text or commentary, and understand that there will be no financial or other remuneration;

7.  Warrant that I am in good health and the Minor(s) is (are) in good health and have no physical condition that would prevent me or the Minor(s) from participation in the event or activity;

8.  Acknowledge that the releasees are not joint sponsors, joint venturers, partners, or otherwise jointly engaged in the above-named event or activity;

9.  Agree to defend, indemnify, and hold harmless the releasees from any and all claims, including attorneys’ fees and costs, which may be brought against them, or any of them, or any of their respective officers, shareholders, members, directors, insurers, employees, or agents by anyone claiming to have been injured as a result of my and/or the Minor(s)’s participation in the activity.

 


IMPORTANT:

THIS DOCUMENT RELIEVES THE RELEASEES, AND OTHERS FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE CAUSED BY NEGLIGENCE.

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER.

BY SIGNING FOR A MINOR, I CERTIFY THAT I AM A PARENT OR LEGALLY RECOGNIZED GUARDIAN AUTHORIZED TO SIGN ON BEHALF OF THE MINORS IN MY CARE.

I HAVE READ THIS DOCUMENT, UNDERSTAND THAT I WILL GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN VOLUNTARILY.  I AM AWARE OF THE RISKS INVOLVED IN MY AND/OR THE MINOR(S) PARTICIPATION IN THE EVENT OR ACTIVITY. I FURTHER ACKNOWLEDGE THAT I WAS PROVIDED WITH THE OPPORTUNITY TO HAVE INDEPENDENT COUNSEL REVIEW THIS AGREEMENT AND WAS SPECIFICALLY ADVISED TO RETAIN COUNSEL TO REVIEW THIS AGREEMENT. I AM LEGALLY COMPETENT TO SIGN THIS RELEASE AND DO SO OF MY OWN FREE WILL.

I HAVE BEEN ADVISED THAT PARTICIPANTS SHOULD WEAR HEAD PROTECTION AND I AND/OR THE MINOR(S) UNDERSTAND THAT IT REMAINS OUR CHOICE TO UTILIZE OR NOT UTILIZE THE HELMETS PROVIDED BY THE RELEASEES AT NO COST, AND THAT NOT UTILIZING HEAD PROTECTION COULD RESULT IN SERIOUS INJURY OR DEATH

I HAVE SIGNED THIS DOCUMENT ON MY OWN BEHALF AND ON BEHALF OF THE MINOR(S) LISTED BELOW

Today's Date: April 24, 2024

COVID-19

Participant Waiver

Assumption of the Risk and Waiver of Liability Relating to COVID-19

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I or my minor child may be exposed to or infected by COVID-19 by attending the above program, and that such exposure or infection may result in personal injury, illness, permanent disability, and death.  I understand that the risk of becoming exposed to or infected by COVID-19 at the above program may result from the actions, omissions, or negligence of myself or my minor child and others, including, but not limited to, The City of Temecula, Seaside Ice, LLC dba Ice-America, their employees, officers, agents, and representatives, employees, volunteers, and their families.

 I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to my child 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 may experience or incur in connection with my or my child’s attendance at the above program.  On my behalf, and on behalf of my child, I hereby release, covenant not to sue, discharge, and hold harmless the City of Temecula, Seaside Ice, LLC dba Ice-America, their employees, officers, agents, and representatives, from any claims, including all liabilities, claims, actions, damages, costs, or expense of any kind arising out of or relating to my or my child’s participation in this event.  I understand and agree that this release includes any claims based on the actions, omissions, or negligence of the City of Temecula, Seaside Ice, LLC dba Ice-America, its employees, officers, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any City of Temecula activity or program or by participating in activities or programs held on City of Temecula property.

Participant (or Parent or Guardian) Signature                                               

Today's Date: April 24, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Would you like to HEAD PROTECTION (helmet) ?*
Parent or Guardian's Email Address

Email*

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

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant
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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Would you like to HEAD PROTECTION (helmet) ?*
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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