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Please sign this waiver to skate on the ramp at Five Stride's Portland location. 

THIS AGREEMENT RELATES TO ALL FIVE STRIDE SKATE SHOP LLC SKATEPARKS, STORES, AND FACILITIES LOCATED IN OREGON (COLLECTIVELY, THE “PARKS”). 

EXPRESS CONTRACTUAL ASSUMPTION OF ALL RISKS, WAIVER OF AND RELEASE FROM ALL LIABILITY FOR ANY NEGLIGENCE. INDEMNITY FOR ALL THIRD PARTY CLAIMS 

 

 

We know that roller skating, skateboarding, and in-line skating are inherently dangerous sports and activities in which we choose to voluntarily participate at our own risk. We are aware that the usual risks, hazards and dangers of personal injury, death and disability or property damage and loss (collectively “Damages”), necessarily increase when using ramps, curbs, steps, half pipes, inclines or declines, bowls or any other structure and device. We know that the risks, hazards and dangers include, but are not limited to, uncontrollable boards, falling, jumping, landing, performing tricks, colliding with other users, staff, media personnel and spectators. We also understand that these risks, hazards and dangers are further increased when other persons, whether or not of the same level of experience or skill, are present at the same time and using the same facilities. (All of the above defined activities are collectively referred to throughout this Agreement as “the Hazardous Activities.”) 

By this agreement, it is our intention to relieve “Five Stride Skate Shop LLC” (hereinafter referred to as “FIVE STRIDE”, as such term is defined below) of any duty to us and we do assume the entire risk of any of the Damages which might occur during or as a result of my use of or presence the Parks. By this agreement, I also intend to release, discharge and absolve FIVE STRIDE from any and all liability for any active or passive negligence whatsoever by FIVE STRIDE and to waive and relinquish any claim or cause of action against FIVE STRIDE for any loss, claim, damage, personal injury, disability, death, medical and any other type of expense or property damage or loss caused by any negligence of FIVE STRIDE and promise not to sue or exercise any legal right to seek damages from FIVE STRIDE. 

In consideration of utilizing the Parks, we agree as follows: 

1. As to my participation in any activity, including, but not limited to, the Hazardous Activities and as to any and all liability for the Damages which I may suffer or incur due to any cause whatsoever, while in the interior or exterior of the premises of the Parks, we hereby agree: 

a. To waive any and all claims for Damages that I may have against FIVE STRIDE, its managers, employees, coaches, officers, directors, associates, agents, contractors, volunteers, sponsors, vendors or exhibitors or any other person or company in any way associated with it (collectively, “FIVE STRIDE”); 

b. To release FIVE STRIDE, from any and all liability for the Damages that I may suffer or incur, or that my next of kin may suffer as a result of my participation in any activity, including but not limited to, Hazardous Activities while at the Parks; and 

c. To hold harmless and indemnify FIVE STRIDE from any and all liability for the Damages to any third party resulting from my participation in any activity, including but not limited to, the Hazardous Activities while at the Parks. 

2. This waiver and release of liability and indemnification agreement (collectively referred to hereafter as “Waiver and Release”) shall be effective and binding upon my heirs, next of kin, family, relatives, guardians, conservators, executors, administrators, trustees and assigns in the event of my injury, disability or death. 

3. The undersigned hereby grants permission to FIVE STRIDE, the right to use their voice and/or likeness, and photographs taken by FIVE STRIDE in advertising and promotional materials feature use including radio, television, video tape, newspaper, magazines, programs, print advertisements, web and all other media throughout the world in perpetuity.  

4. WE HAVE READ, UNDERSTAND AND AGREE TO BE BOUND BY THE RULES OF SAFETY/CONDUCT GOVERNING MY CONDUCT WHILE USING THE PARKS. WE UNDERSTAND THAT THESE RULES ARE STRICTLY ENFORCED. 

Any dispute, controversy or claim arising out of or related to this Agreement or the interpretation of this Agreement with FIVE STRIDE shall be settled by arbitration in accordance with the Rules of the American Arbitration Association, except to the extent modified below. The place of arbitration shall be Multnomah County, Oregon. The Award of the arbitrator (the "Award") shall be final and binding upon the parties and judgment upon the Award may be entered by any court of competent jurisdiction. The arbitrator shall be required to determine all issues in accordance with substantive law of the state or jurisdiction in which the relevant Park is located. The rules of evidence applicable to proceedings at law in such state or jurisdiction shall be applicable to the arbitration proceeding. FIVE STRIDE SKATE SHOP shall pay all costs of the arbitration, except the legal fees of the undersigned. 

NOTICE: BY SIGNING THIS RELEASE AGREEMENT, THE UNDERSIGNED IS AGREEING TO HAVE ANY CLAIM DECIDED BY NEUTRAL ARBITRATION AND IS GIVING UP THE RIGHT TO A JURY OR COURT TRIAL. 

The undersigned further AGREES that this Agreement is intended to be as broad and inclusive as is permitted by the law of the state Oregon, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. 

The undersigned further certifies that he/she has no medical condition which would cause participation in activities at the Parks to be potentially hazardous to his or her health. In addition, this Agreement shall constitute authorization for the Parks to provide or cause to be provided such medical treatment to the undersigned as may be necessary or appropriate if an injury occurs while at the Parks. 

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THIS AGREEMENT, and further agrees that no oral representations, statements, or inducements apart from this Agreement have been made by FIVE STRIDE or the Parks or anyone else with regard to the subject matter of this Agreement. 

My parent or legal guardian and I hereby certify that I am under 18 years old. We have completely read and understand this Agreement and its terms. Prior to signing this Agreement, we have had the opportunity to ask any questions about this Agreement, FIVE STRIDE and the Parks. We are aware that, by signing this Agreement, we assume all risks and waive and release certain rights that I and my heirs, next of kin, family, relatives, guardians, conservators, executors, administrators, trustees and assigns may have against FIVE STRIDE. 

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Participant's Address
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Street address, P.O. box, company name, c/o
Address Line 2:
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Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

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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