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WAIVER OF LIABILITY

THIS FORM MUST BE COMPLETED AND SIGNED PRIOR TO ENTRY INTO THE SKATEPARK. YOU MUST BE AT LEAST EIGHTEEN (18) YEARS OLD TO COMPLETE THIS FORM WITHOUT A PARENT OR LEGAL GUARDIAN; A PARENT OR GUARDIAN MUST SIGN FOR A MINOR.

ENTRY TO THE SKATEPARK WILL BE REFUSED TO ANYONE EXHIBITING ANY SIGNS OF ILLNESS. AT ALL TIMES WITHIN THE SKATEPARK YOU AGREE TO PRACTICE PHYSICAL DISTANCING.

In consideration of the services being rendered by Familia Skateboard Shop, LLC, a Minnesota limited liability company, and affiliates (collectively, “Familia”) including entry into the skatepark, I hereby agree to indemnify, release, hold harmless, and discharge Familia and its owners, officers and employees on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate from and against any and all claims arising from or relating to my use of the skatepark facilities and equipment.

I acknowledge that my participation (or the participation of the minor noted above) in skateboarding exposes me and the participant noted above, to known and unanticipated risks that could result in physical or emotional injury, paralysis, death or damage to myself, to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity. Skateboarding is a dangerous and risky activity, and I accept all the risks that come with it. These risks include, among other things: Collision with other participants, the wall or other fixed objects; falling down; participant’s equipment failure or the failure of others’ equipment; participant or others’ negligence; objects or conditions on the surface that may cause me or the participant minor to fall; broken bones, sprains, head and back injuries, abrasions, and bruises. I understand and agree that Familia employees do not know or assess fitness levels or abilities, and Familia is not responsible for giving instruction or ensuring that participants use their equipment in a safe and well-maintained manner. Parents signing on behalf of minors are solely responsible for ensuring the use of helmets and other safety equipment. 

Further, I acknowledge that my participation (or the participation of the minor noted above) in activities at the skatepark during the global COVID-19 pandemic involves additional risk. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is therefore possible that other persons at the skatepark during my visit may in fact have COVID-19. I represent and warrant that neither I nor any member of my household has exhibited COVID-19 symptoms including, but not limited to fever or flu-like symptoms, or tested positive for COVID-19, in the fourteen (14) days immediately preceding my, or the minor participant noted above, presence at the skatepark.

I expressly agree and promise to accept and assume all of the risks existing in this activity. Participation in this activity is purely voluntary, and I elect to participate in spite of the risks. In addition, if at any time I believe that conditions are unsafe or that I or the participating minor am unable to participate due to physical or medical conditions, then I will immediately discontinue such participation

I certify that I have adequate insurance to cover any injury or damage caused or suffered while participating in activities in or around the skatepark. I agree to bear the costs of all injuries to persons or property that I or the participant may cause or fail to avoid. I assume the risk of any medical or physical condition I or the participant may have.

In the event that I file a lawsuit against Familia, I agree to do so solely in the state of Minnesota, and I further agree that the substantive law of that state shall apply in the action without regard to conflict of law rules of that state. I agree that this release is intended to be as broad and inclusive as is permitted by the laws of the State of Minnesota and that should any portion thereof be held invalid, agree that the balance shall, not withstanding, continue in full force and effect. Should Familia or anyone acting on its behalf, be required to incur attorney fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I understand that participants are strongly advised to wear an adequate helmet while participating and the use of additional protective gear including footwear, elbow and knee pads. Participants are required to follow all rules of conduct and are not to take unreasonable risks while using the skatepark facility, including exposing other riders to an unreasonable risk of harm.

I understand that this Waiver of Liability, once signed, shall be effective from the date first indicated herein, and shall apply to each successive use of the skatepark and equipment until and unless amended or terminated in writing.

In signing this Waiver of Liability, I certify that I am at least eighteen (18) years old. I have completely read and understand this waiver and accept all of its terms on my behalf or my child’s behalf. I understand that I have given up substantial rights by signing it. I am signing freely and voluntarily, without any inducement, assurance or guaranty being made to me. Prior to signing this waiver and release, I have had the opportunity to ask any questions concerning the waiver and release of Familia and its affiliates.

Today's Date: January 28, 2023

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*

Confirm Email*
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Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

PARENT OR GUARDIAN SIGNATURE

(Must be completed for participants under the age of 18) 

In consideration of a minor being permitted to participate in this activity, on behalf of myself, the participant, his/her personal representative, heirs, next of kin, successors and assigns, the undersigned parent/legal guardian agrees to the terms and conditions of this Waiver of Liability 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*

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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