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Liability Waiver


This agreement is between the Signer and Walsh Makerspace, Inc. (“Walsh”) regarding the Walsh Village Complex makerspace facility (“Makerspace”). I, the undersigned, agree and acknowledge that while measures have been taken to promote safety and prevent harm with respect to activities taking place in the Makerspace, there are risks associated with such activities including bumps, bruises, scrapes, or cuts from using the tools and equipment. In addition, there is a risk of more severe harm including, but not limited to, broken bones, burns, severe cuts, bleeding, dismemberment, infections, exposure to and contraction of communicable diseases, including but not limited to COVID-19, and other damages, personal injuries, or death.


By signing this agreement, I acknowledge the risks associated with my activities within the Makerspace, and I agree to HOLD HARMLESS Walsh, its members, officers and directors. 



I understand that I am personally responsible for my safety and actions and that I will follow all safety instructions and signage while at the Makerspace. I also understand that if I am signing for a minor(s), I am personally responsible for my minor's safety and actions and will instruct and ensure that my minor follows all safety instructions and signage while at the Makerspace. 



I, ON BEHALF OF MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNEES, HEREBY WAIVE, RELEASE, SAVE, HOLD HARMLESS, AND AGREE TO INDEMNIFY AND DEFEND WALSH, ANY PARENT COMPANIES AND/OR AFFILIATES, AND THEIR EMPLOYEES, OWNERS, OFFICERS, DIRECTORS, AGENTS, AND REPRESENTATIVES (HEREIN "THE RELEASED PARTIES") FROM AND AGAINST ANY AND ALL CLAIMS AND DAMAGES OF ANY KIND, INCLUDING PERSONAL INJURIES AND DEATH WHICH MAY RESULT FROM MY USE OF, OR ACTIVITIES AT, THE MAKERSPACE, INCLUDING BUT NOT LIMITED TO CLAIMS AND DAMAGES ARISING IN WHOLE OR IN PART FROM THE NEGLIGENCE OF THE RELEASED PARTIES. I FURTHER ACKNOWLEDGE AND AGREE THAT IT IS THE EXPRESS INTENTION OF THE PARTIES HERETO THAT THE INDEMNITY PROVIDED FOR IN THIS PARAGRAPH IS AGREED TO BY THE UNDERSIGNED IN ORDER TO FULLY INDEMNIFY AND PROTECT THE RELEASED PARTIES FROM THE CONSEQUENCES OF ANY NEGLIGENCE OF THE RELEASED PARTIES, WHETHER SUCH NEGLIGENCE IS THE SOLE OR CONCURRING CAUSE OF ANY INJURY, DEATH, OR OTHER DAMAGE. ANY AND ALL CLAIMS NOT SPECIFICALLY RELEASED HEREIN ARE HEREBY ASSIGNED IN FULL TO WALSH. 



I affirm and represent that I have read and understand this agreement and the associated risks of using the Makerspace. I further affirm and represent that I am at least 18 years of age and mentally competent to execute this agreement.


If signing for a minor, I affirm that I am the parent and/or legal guardian of any and all minors listed on this waiver. 





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:*
First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle 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.
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 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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