Loading...

WARRANTY AND CONSENT ASSUMPTION OF RISK RELEASE AND RELEASE OF LIABILITY AND WAIVER OF CLAIMS RELEASE AND INDEMNITY AGREEMENT the (“RELEASE AGREEMENT”) TO: CLEAVAGE AXE THROWING LTD., the Owner, Operator and Occupier of the premises where the ACTIVITIES, as defined herein, take place; and all their related and associated companies and their respective owners, directors, officers, employees, agents, representatives, instructors, contractors, subcontractors, sponsors, successors and assigns (all of whom are hereinafter collectively referred to as the "Releasees").

DEFINITION: 

In this Release Agreement the term the "ACTIVITIES" shall include all activities, events and services provided, arranged, organized, sponsored or authorized by the Releasees, including but not limited to: axe throwing, events, functions and competitions; use of axe and all other related axe throwing equipment, use of the premises where the ACTIVITIES take place; orientation and instruction sessions; and all other related activities.

ACKNOWLEDGEMENT AND WARRANTY

 I ACKNOWLEDGE AND WARRANT THAT:

1.    I am aware that the ACTIVITIES may not be supervised or monitored by professional staff;

  1. I am familiar with the risk of serious injury and death which any participant in the ACTIVITIES must assume;
  2. I am physically, emotionally and mentally able to participate in the ACTIVITIES;
  3. I have not been advised by a medical practitioner to refrain from participating in the ACTIVITIES;
  4. I understand that all applicable rules for participation in the ACTIVITIES must be followed and that at all times the sole responsibility for personal safety remains with me;
  5. 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 any treatment in the case of an injury.
  6. In case of an injury, I authorize the staff of CLEAVAGE AXE THROWING LTD. to render first aid and I hereby authorize CLEAVAGE AXE THROWING LTD. staff to act for me in case of an emergency.
  7. I will immediately remove myself from participation, and notify the nearest CLEAVAGE AXE THROWING LTD. representative, if at any time I sense or observe any unusual hazardous or unsafe condition and/or if I feel that I have experienced any deterioration in my physical, emotional or mental fitness for continued participation in the ACTIVITIES;
  8. I am aware that participating in the ACTIVITIES involve many risks, dangers and hazards which may result in serious injury or death including but not limited to: improper use of equipment; equipment failure; splinters, cuts, lacerations, fractures, punctures or abrasions; collision with other persons; loss of balance or control; slips, trips and falls; failure to act safely or within one’s own ability; and negligence of other persons;
  9. I agree that my right to participate in axe throwing and use the equipment may be terminated without refund if I fail to follow all applicable rules for participation in the ACTIVITIES. I accept full responsibility for return of all equipment in good condition or to pay replacement cost upon termination of the game; and
  10. I FREELY ACCEPT AND FULLY ASSUME ALL RISKS, DANGERS AND HAZARDS ASSOCIATED WITH THE ACTIVITIES AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY

I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representatives and next of kin, that my participation in the ACTIVITIES and execution of this document constitutes:

THE ACTIVITIES

1.    an unqualified ASSUMPTION OF ALL RISKS associated with participation in the ACTIVITIES by me even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the Releasees and any persons associated therewith or participating in the ACTIVITIES therein;

2.    an unqualified WAIVER OF ANY AND ALL CLAIMS that I have or may in the future have against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in the ACTIVITIES due to any cause whatsoever, including negligence, breach of contract or breach of any statutory duty of care owed including a duty of care under the Occupiers Liability Act R.S.B.C. 1996, c. 337, on the part of the Releasees in respect of the provision of or the failure to provide any warnings, directions or instructions as to the use of the axe or the risks, dangers and hazards of participating in the ACTIVITIES;

3.    my agreement to HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in the ACTIVITIES;

  1. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY OF THE RELEASEES, any organizer of the ACTIVITIES and all persons and organizations associated with them and the ACTIVITIES, including without limiting the generality of the foregoing, their respective officers, directors, officials, agents and/or employees, other participants, sponsors, advertisers, owners and/ or lessors of the premises used to conduct the ACTIVITIES, sanctioning bodies, medical or rescue personnel of and from with the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise;
  2. my AGREEMENT NOT TO SUE OR MAKE CLAIM AGAINST THE RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from the participation in the ACTIVITIES by me, and
  3. my AGREEMENT TO INDEMNIFY AND TO SAVE AND HOLD HARMLESS THE RELEASEES, and each of them, from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based in the negligence or the gross negligence of the Releasees or otherwise.

7.    I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES.

  1. I confirm that the Releasees will not be held responsible in the event of any complaint or legal action undertaken against myself as a result of bringing alcohol to the CLEAVAGE AXE THROWING LTD. premise.

9.    I understand and agree that I must wear closed-toed shoes in order to participate in the ACTIVITIES. By wearing footwear that exposes my toes, I am at risk of injury including, but not limited to, axes and/or knives falling on my feet and/or hitting my feet causing minor to severe injury. If I decide to wear open-toed shoes despite being instructed not to do so either on this waiver and/or by an on-site employee, I assume all liability and risk by doing so.

COVID-19

  1. I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Public Health Agency of Canada (PHA) guidelines regarding COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the PHA and/or provincial guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself with the most recent updates.
  2. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to participate in the ACTIVITIES.
  3. I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being on the premises and participating in the ACTIVITIES and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE (on behalf of myself and any minor children form whom I have the capacity contract the Releasees from any liability related to COVID-19 which might occur as a result my being on the premises and participating in the ACTIVITIES.
  4. I shall indemnify, defend and hold harmless the Releasees from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury.

PHOTO/VIDEO

  1. In the event that CLEAVAGE AXE THROWING LTD. or the Releasees. take photographs or videos, I hereby assign full copyright of these photographs and videos to CLEAVAGE AXE THROWING LTD. (and the related representatives and assigns) together with the right of reproduction either wholly or in part. Furthermore, I grant CLEAVAGE AXE THROWING LTD. the perpetual and irrevocable and unrestricted right to use and publish video and/or photographs of me, or where I may be included for editorial trade, product or service advertising and such other fashion /business purpose in any manner and medium, including advertising with any retouching or alteration without restriction or compensation

In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the ACTIVITIES, other than what is set forth in this Release Agreement.

I CONFIRM THAT I HAVE READ THIS RELEASE AGREEMENT THOROUGHLY AND I AM AWARE THAT BY COMPLETING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES

I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY PARTICIPATION IN THE ACTIVITIES.

I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.



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*

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

BY COMPLETING THIS FORM AND CHECKING THIS BOX I CONFIRM I AM 19+ YEARS OF AGE OR HAVE SIGNED FOR SOMEONE UNDER THE AGE OF 19. I HEREBY ACKNOWLEDGE THAT I AM NOT INTOXICATED OR CONSUMED ANY OTHER SUBSTANCES THAT MAY RESULT IN MY JUDGEMENT BEING IMPAIRED. I HEREBY ASSUME FULL RESPONSIBILITY FOR MY ACTIONS, RISKS, DANGERS, AND HAZARDS RESULTING FROM THE USE OF THE FACILITIES AND PARTICIPATION THE ACTIVITIES WHILE UNDER THE INFLUENCE OF ALCOHOL OR MIND ALTERING SUBSTANCES. I UNDERSTAND THAT AM GIVING UP CERTAIN RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE. THAT I AM AT LEAST 19 YEARS OLD AS OF THE DAY THIS FORM WAS FILLED OUT. I FREELY ACCEPT AND ASSUME ALL RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF RESULTING PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS DIRECTLY OR INDIRECTLY ASSOCIATED WITH MY PARTICIPATION IN THE WORKOUT. I HAVE READ THIS VOLUNTARY ASSUMPTION OF RISK, RELEASE AND INDEMNITY AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS AND VOLUNTARILY AGREE TO ITS TERMS.


Click to customize drop-down*
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*

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!