BKIND Inc, DBA The Roller Room collects personal information through this electronic waiver via Smartwaiver for the sole purpose of participation, safety, and legal documentation related to skating activities and events.

Information Collected

This waiver may collect:

  • Participant name and date of birth
  • Parent/guardian information for minors
  • Emergency contact details
  • Health or safety information voluntarily provided
  • Electronic signature, IP address, and date/time stamp

How Information Is Used

Information collected is used to:

  • Verify participant eligibility
  • Maintain safety and emergency records
  • Document assumption of risk and liability release
  • Meet insurance, legal, and record-keeping requirements

Information Sharing

Waiver information is not sold or used for marketing purposes.

Information may be shared only with:

  • Smartwaiver as the electronic waiver provider
  • Insurance carriers
  • Legal authorities if required by law

Data Security & Storage

Waiver data is securely stored within Smartwaiver’s systems, with access limited to authorized personnel. While reasonable safeguards are in place, no electronic system can guarantee absolute security.

Record Retention

Waivers are retained for the period required by law, insurance policies, or operational necessity.

Minors

Information for minors is collected only with consent from a parent or legal guardian and used exclusively for participation and safety purposes.

Contact Information

For questions regarding this waiver or your personal information, please contact:

BKIND Inc, DBA The Roller Room

Email: frank@therollerroom.com

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Liability Waiver & Venue Use Agreement


Review The Roller Room Privacy Policy

Assumption of Risk

I understand that roller skating and activities at The Roller Room involve inherent risks, including falls, collisions, injuries, and equipment accidents. I acknowledge these risks may result in serious injury and choose to participate voluntarily. I agree to assume all risks associated with skating and being on the premises.

Release of Liability

I release, waive, discharge, and hold harmless the owners, operators, employees, and affiliates from any claims, liability, demands, or causes of action resulting from injury, property damage, or loss arising from use of the facility. This release applies to myself, my estate, heirs, executors, and assigns.

Venue Rules & Policies

• Private venue; entry only for invited guests and scheduled participants.

• No smoking, vaping, alcohol, drugs, or illegal substances.

• No weapons of any kind.

• Skating at my own risk; proper equipment recommended.

• No outside skates unless approved by staff.

• No roughhousing, racing, or dangerous behavior; children must be supervised.

• Responsible for personal belongings; respect property and equipment.

• Follow staff instructions; staff may remove unsafe individuals.

Medical Authorization

If unable to communicate due to injury, I authorize staff to obtain emergency medical assistance on my behalf. I accept financial responsibility for any resulting medical costs.

Acknowledgment & Signature

I have read and fully understand this waiver. By signing, I give up legal rights.

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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*
Last Name*
Phone*
Parent or Guardian's Date of Birth*
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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