60 - PIER 2 WAIVER

Adult or Parent Name*

First NameLast Name

FOR PARTICIPANTS OF MINOR AGE
This is to certify that I, as parent or (legal guardian), am legally responsible for this participant, and I agree to DISCHARGE and RELEASE United Skates of America, Inc. from all liability arising out of or connected with my child’s participation in roller-skating.

Minor Name and Birth Date

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

In consideration of permission to use today and on all future dates, the property, facilities, and services (the “Facilities”) of United Skates of America, Inc., (“USA”), I, the undersigned (skater or spectator), hereby expressly agree:

1) THAT roller skating is a participation sport, and I am fully aware of the risks and hazards involved in or arising from my use of or presence at the Facilities. I HEREBY ASSUME ANY AND ALL RISKS INVOLVED IN OR ARISING FROM MY USE OF OR PRESENCE AT THE FACILITIES, including, by way of example, and without limitation, the risks of bodily injury and even death resulting from any and all use or wearing of roller skates while walking or skating on any surface whatsoever anywhere within the Facilities*

Yes

2) THAT an inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. By entering the Facilities, I voluntarily assume all risks related to exposure to COVID-19. *

Yes

3) TO RELEASE USA and at the successors, , affiliates, officers, directors, employees, agents and assigns from any demands, claims, actions, causes of action, suits, damages, costs or expenses (collectively “Claims”) arising out of my use of or presence at the Facilities, or the use of USA skates or equipment, including but not limited to Claims for bodily injury arising out of the negligence of other skaters or spectators or arising out of the negligence or other fault of USA or skates or other equipment supplied by USA, to the extent permitted by the laws of the applicable jurisdiction. *

Yes

4) THAT THIS RELEASE shall be binding upon my heirs, administrators, executors, assigns and legal representatives.*

Yes

5) THIS RELEASE also binds me as parent or legal guardian of the minors listed below, to release and discharge USA from any liability arising out of those minors’ activities or presence at the Facilities to the extent permitted by applicable law. I acknowledge responsibility for the minors listed below at the Facilities*

Yes

6) TO WAIVE, to the extent permitted by the laws of the applicable jurisdiction, the protection afforded by any statute or law in any jurisdiction whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise, that the person giving the release does not know or suspect exists at the time of executing the release*

Yes

7) THAT I understand that USA does not provide instruction to skaters except by way of classes that I must register for. The rink will provide wrist guards available for use by every patron free of charge and SkateMates for a minimal charge. I further understand that USA has no obligation to provide safety equipment wrist/ elbow/knee guards or helmets. *

Yes

8) THAT IF I IGNORE THIS AGREEMENT AND COMMENCE A LEGAL ACTION AGAINST USA OR ITS SUBSIDIARIES, AFFILIATES OR ASSIGNS, , I AGREE NOT TO OPPOSE USA’s APPLICATION TO RECOVER FROM ME ALLATTORNEY FEES AND COURT COSTS INCURRED BY USA IN THAT ACTION TO THE EXTENT PERMITTED BY THE LAWS OF THE APPLICABLE JURISDICTION. *

Yes

9) I HAVE READ AND UNDERSTAND THIS AGREEMENT. I UNDERSTAND THAT BY MAKING AND SIGNING THIS AGREEMENT I AM SURRENDERING VALUABLE RIGHTS*

Yes

WHAT IS YOUR SKATING ABILITY LEVEL?*

BEGINNERINTERMEDIATEADVANCED

DO YOU HAVE HEALTH INSURANCE? IF NO, WE STRONGLY RECOMMEND YOU DO NOT SKATE*

YesNo

In the event that one portion of this agreement may be deemed unenforceable, then said provision shall be severed from the remaining provisions of the agreement & those remaining provisions shall be enforced.

Email*

example@example.com

Date

Signature*

Booking ID

Session ID

By proceeding, I am agreeing to the Privacy Policy and the Rules of the Rink.

PIER 2 ROLLER SKATING RINK SKATING AGREEMENT