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AXES & ANTICS

ASSUMPTION OF RISK, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNIFICATION AGREEMENT & MEMBERSHIP APPLICATION


PLEASE READ CAREFULLY. BY SIGNING, YOU ARE GIVING UP YOUR AND /OR YOUR

MINOR’S LEGAL RIGHTS TO SUE OR CLAIM COMPENSATION FOLLOWING AN


ACCIDENT.


In consideration of being allowed to participate in the services and activities, including, but not

limited to, axe throwing arena access, rage room, seating area, alcoholic beverages and snack

bar access and any other amusement activities (collectively “ACTIVITIES”), provided by AXES &

ANTICS LLC, in IN and its agents, owners, officers, directors, principals, volunteers, participants, clients,

customers, invitees, employees, independent contractors, insurers, facility operators, premises owners,

equipment owners or providers and any and all other persons and entities acting in any capacity on its

behalf (collecvely “AXES & ANTICS”), on behalf of myself, and/or on behalf of my minor child/ward,

and each of our heirs, assigns, next of kin, personal representaves and estate, and all other persons

and entities who could in any way represent me or them or act on my or their behalf. This membership

serves a one year membership. I agree to the following:

Assumption and Acknowledgement of Risk. I acknowledge, agree, and represent that I

understand the dangerous nature of the ACTIVITIES and that my minor child/ward is (if signing

on behalf of minor child/ward) or I am (if signing waiver for myself) qualified, in good health, and

in proper physical condition to participate in such ACTIVITIES. I acknowledge that the

ACTIVITIES entail known, unknown, and unanticipated risks, seen and unseen, which could

result in physical or emotional injury, paralysis, death, or damage to property or to third parties. I

understand that such risks cannot be eliminated without jeopardizing the essential qualities of

the ACTIVITIES. On behalf of my minor child/ward (if applicable) and myself, I agree to assume

all risk and bear full responsibility for any injury or damage my minor child/ward (if applicable) or

I may suffer while participating in the ACTIVITIES.

Release of Liability and Promise Not to Sue. Despite all known and unknown risks, I hereby

expressly and voluntarily RELEASE, COVENANT NOT TO SUE and FOREVER DISCHARGE

(personally and on behalf of my minor child/ward) AXES & ANTICS and agree to hold it harmless

from all manner of action and actions or omissions(s), cause and cause of action, suits, debts, sums of

money, accounts, contracts, agreement, promises, damages, judgments, executions, claims and

demands whatsoever, in law or in equity, including, but not limited to, any and all claims which allege

negligent acts and/or omissions committed by AXES & ANTICS, whether the action arises out of any

damage, loss, personal injury, death to me or my minor child/ward, while participating in or as a result

of participating in any of the ACTIVITIES. This Release of Liability and Covenant Not to Sue, is effective

and valid regardless of whether the damage, loss, personal injury or death is a result of any act or

omission on the part of AXES & ANTICS.


Indemnification. I hereby agree to indemnify and hold harmless from and against any and all

losses, liabilities, claims, costs, damages and/or expenses whatsoever paid, incurred and/or

suffered by AXES & ANTICS, including, but not limited to, any and all attorneys’ fees costs, damages

and/or judgments AXES & ANTICS incurs in the event that I or my minor child/ward cause any injury,

damage and/or harm to AXES & ANTICS and/or any and all other persons and entities acting in

any capacity on behalf of AXES & ANTICS. I further agree that if I or my minor child/ward or anyone

acting on my or their behalf makes a claim against AXES & ANTICS, I WILL INDEMNIFY, SAVE AND

HOLD HARMLESS AXES & ANTICS from any litigation expenses, attorneys’ fees, loss, liability, costs,

damages or expenses which may result from such claim.

Venue. In the event a lawsuit is filed against AXES & ANTICS, I agree to the sole and exclusive

venue of the State of Indiana, County of Elkhart. I further agree that the substantive law of Indiana shall

apply without regard to any conflict of law rules. I also agree that if any portion of this agreement is

found to be void or unenforceable, the remaining portion shall remain in full force and effect.

Other Agreements. I understand that this agreement extends forever into the future and will

have full force and legal effect each and every time I or my child/ward visits AXES & ANTICS;

provided, however, that a minor child/ward will need to execute his own agreement upon reaching the

age of 18. I hereby grant AXES & ANTICS on behalf of myself and on behalf of my minor child/ward

the right to photograph and/or record me and/or my child/ward in connecon with AXES & ANTICS

and to use the photograph and/or recording for all purposes, including advertising and promotional

purposes, in any manner and all media now or hereafter known, in perpetuity throughout the world,

without restriction as to alteration and without compensation of any kind to me and/or my minor

child/ward. The child thrower is in my legal custody.

I confirm that AXES & ANTICS will not be held responsible in the event of any complaint or legal

action undertaken against myself/ minor as a result of an alcohol related incident on and off premises.

My participation in this activity is purely voluntary, and I elect to participate in spite of the risks

described herein. I further certify that I have no medical or physical conditions which interfere

with my ability to participate safely in the use of AXES & ANTICS services, equipment, and

facilities, or else I am willing to assume and bear the costs of all risks that may be created, directly or

indirectly, by any such condition. This also applies to my service animal accompanying me during this

visit if applicable.

I acknowledge that I must wear closed-toed shoes in order to participate in axe throwing and any/all activities

provided by AXES & ANTICS. By wearing footwear that exposes my toes, I am at risk of

injury including, but not limited to, axes / debris falling on your feet and/or hitting your feet

causing minor to severe injury. If I decide to wear open-toed shoes despite being mandated

not to do so on this waiver, on the company website, posted signs and/or by an on-site

employee, I assume understanding that I will be turned away from entering the facility and

no refund will be granted.


By signing this document, I understand that I may be found by a court of law to have

forever waived my and/or my child’s/ward’s/service animal rights to maintain any action

against AXES & ANTICS on the basis of any claim from which I have released AXES

& ANTICS herein. I have had a reasonable and sufficient opportunity to read and

understand this entire document and consult with legal counsel, or have voluntarily


waived my right to do so. I knowingly and voluntarily agree to be bound by all terms and

conditions set forth herein.

We reserve the right to review your driver’s license and/or other forms of identification to verify

your age.

May 26, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Second Participant's Signature*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Third Participant's Signature*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to Confirm Email
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Do you have any pre-existing conditions such as back, neck, leg, or arm injuries?*
No
Yes
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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