Loading...

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

I, (the undersigned), wish to participate at my own risk in The 580 Offered Activities (Axetreme Axe Throwing, 580 Greens, 580 Darts, 580 Corner Pocket Pool, 580 Cornhole) at Five-Eighty Taproom & Playhouse LLC (Operator). I am aware these activities are potentially hazardous, physically strenuous, and involve certain risks of injury. 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/hitting instruments (axes, knives, stars, darts, golf clubs and balls, etc.) including other participants not using proper safety procedures. In addition, I recognize that participating in any of these activities 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. Even though these activities are supervised by Five-Eighty Taproom & Playhouse LLC personnel, I understand that I am solely responsible for the safety and well-being 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 580 Offered Activities and hereby assume the risks.

I hereby agree to hold the Operator harmless and agree to 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 participation in 580 Offered Activities. Including without limitation, those resulting from the manufacture, selection delivery, possession, use or operation of such equipment.

I, on behalf of myself, my estate, heirs, executors, administrators and assigns do hereby indemnify the owners of Five-Eighty Taproom & Playhouse LLC, 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 any of the 580 Offered Activities 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 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 Five-Eighty Taproom & Playhouse LLC to render first aid and I hereby authorize said staff to act for me in case of an emergency. I also waive and release Operator from any and all liability for any and all injuries and illness that occur while participating in 580 Offered A. I agree to obey the Safety Instructions and Regulations & Requirements and to use the equipment so as not to injure myself or others. I agree that my right to participate in 580 Offered Activities and to use the equipment may be terminated without refund if I fail to follow such Safety Instructions and Regulations & Requirements. I accept full responsibility for the return of all equipment in good condition or to pay replacement costs upon termination of the game.

I have read and fully understand this “Liability Waiver” and recognize that it is a 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 (if under 18, see below) and in good health and do not suffer from a heart condition or other ailments/conditions which could be exacerbated by the exertion involved in any 580 Offered Activity and that I further intend to be bound by this agreement.

Media Release: I hereby grant Five-Eighty Taproom & Playhouse LLC, 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 Five-Eighty Taproom & Playhouse LLC promotions without payment of fees.

Please Note: Waivers are kept on file and will continue in full force and effect until and unless withdrawn by Participant in writing, delivered to Operator.

Today's date: June 13, 2024

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
A signed copy of this waiver will be sent to the email address you provide.

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 the above named minor’s execution of this Agreement release as provided above of all the releases, for said minor, myself, my heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless the Operator from any and all liabilities incident to my minor child's involvement or participation in the 580 Offered Activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE OR THE NEGLIGENCE OF OTHERS, 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.



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*

Last Name*

Relationship*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!