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Barker Family Entertainment

PARTICIPANT AGREEMENT

RELEASE OF LIABILITY, WAIVER OF CLAIM EXPRESS

ASSUMPTION OF RISK & INDEMNITY

In Consideration of gaining Access to Barker Family Entertainment & engaging in their services at, I hereby release, indemnify, hold harmless, & discharge Barker Family Entertainment from any & all claims, demands, or causes of action in any way, either directly or indirectly, based upon, arising out of, connected to, or involving in my participation in/on the “Mechanical Bull Riding activity at this location.

I have read this Agreement & acknowledge the risk of participating in this activity that could result in biological or emotional injury, including broken bones, sprained or torn ligaments, paralysis, death or other bodily injury or property or to third parties. I agree and represent that I am not pregnant, intoxicated, or under the influence of neither drugs nor do I have any existing medical conditions. I expressly agree & promise to accept and assume all of the risks existing in this activity. My participation is purely voluntary & I elect to participate in spite of the risks.


If I am injured, I acknowledge that I may require medical assistance, which I acknowledge to be my own expense not the expense of Barker Family Entertainment. I UNDERSTAND THAT Barker Family Entertainment WILL NOT PAY FOR ANY COST OR EXPENSE INCURRED BY ME IF I AM INJURED.


I hereby voluntarily release, forever discharge, and agree to defend, indemnify, & hold harmless Barker Family Entertainment from any & all claims, demands or causes of action which are in any way connected with my participation in/on the “Mechanical Bull Riding” and any such claims based upon the damages caused or alleged to have been caused in whole or in part by the negligent acts or omissions of Barker Family Entertainment.


By signing this Agreement, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have WAIVED MY RIGHT to maintain a lawsuit against Barker Family Entertainment and the location premises as well on the basis of any Claim from which I have released them herein. I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE DOCUMENT. I UNDERSTAND THIS PARTICIPATION AGREEMENT & I VOLUNTARILY AGREE TO BE BOUND BY ITS TERMS.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Event / Location
Event / Location*


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*
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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