Loading...

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

Axe throwing and or breaking items (rage room), agreement, and liability waiver warning! You're throwing sharp, pointy, deadly things. If you haven't figured it out yet, throwing axes and or breaking items (rage room), is hazardous to your health. Serious injury and/or death can occur.

Please read carefully! I (the undersigned) wish to participate in Live Axe Axe Throwing or breaking at our location - Live Axe at my own risk.

I am aware that the activity is HAZARDOUS, physically strenuous, and involves certain risks. 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 instruments (axes, knives, stars, baseball bat, sledgehammer, crowbar, etc.) and/or other participants not using proper safety procedures. In addition, I recognize that throwing axes and or rage room 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, and even though the activity is supervised by Live Axe personnel 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 the full understanding of such risks, I wish to participate in the axe throwing and or breaking items (rage room), and hereby assume the risks. I hereby hold Live Axe, Inc., harmless and 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 Axe throwing and or breaking items (rage room). Including without limitation, those resulting from the manufacture, selection delivery, possession, use or operation of such equipment.

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 LiveAxe to render first aid and I hereby authorize the Live Axe staff to act for me in case of an emergency.

I also waive and release the Live Axe from any and all liability for any and all injuries and illnesses that occur while participating in axe throwing. I agree to obey the Safety Instructions and Rules and to further use the equipment so as not to injure myself or others. I agree that my right to participate in axe throwing and use the equipment may be terminated without refund if I fail to follow such Safety Instructions and Rules. I accept full responsibility for the return of all equipment in good condition or to pay replacement costs upon termination of the game.

I, on behalf of myself, my estate, heirs, executors, administrators, and assigns do hereby indemnify the owners of Live Axe, Inc., 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 axe throwing 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. Photo, email & Video Release: I hereby irrevocably grant Live Axe, 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, use or share my email address or digital media at their discretion and to incorporate the same into video, TV, radio, web or print advertisement, social media advertisement, or video for Live Axe promotions without payment of fees and to third parties.





First Participants Name
First Name*
Last Name*
Phone*
First Participants Date of Birth*
Date of Birth
First Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
First Participants Signature*
Second Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Second Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Third Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Third Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Fourth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Fourth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Fifth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Fifth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Sixth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Sixth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Seventh Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Seventh Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Eighth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Eighth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Ninth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Ninth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Tenth Participants Name
First Name*
Last Name*
Participants Date of Birth*
Date of Birth
Tenth Participants Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Parent or Guardians Email Address
Email*
I consent to receive marketing emails from Live Axe and its partner brands. I understand I can unsubscribe at any time.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releases, and for myself, my heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless LiveAxe from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, 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 Guardians Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardians Date of Birth*
Date of Birth
Parent or Guardians Information
I have read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is 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 (Minors see below) and in good health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.
Please check the box
I have not experienced symptoms such as fever, fatigue, difficulty in breathing or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
Please check the box
Parent or Guardians 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!