King Pin Axe Throwing Agreement & Liability Waiver

Axe Throwing Agreement & Liability Waiver
Warning! You're Throwing Sharp, Pointy, Dealy Things...

If You Haven't Figured It Out Yet Throwing Axes is Hazardous to Your Health. Serious Injury and/or Death Can Occur....PLEASE READ CAREFULLLY!
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.
I (the undersigned):*

Wish to participate in axe throwing at King Pin Entertainment Center 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 other participants not using proper safety procedures. In addition, I recognize that throwing axes could result in permanent injury or death.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 King Pin Entertainment Center personnel that I am solely responsible for the safety, and wellbeing of myself and the minors in my care.Despite these and other risks, and with full understanding of such risks, wish to participate in the axe throwing and hereby assume the risks. I hereby hold King Pin Entertainment Center (Operator) harmless and indemnify them against any of all claims, actions suits, procedures, cost expenses (including attorney's fees and expenses), damages and liabilities arising out of, connected with, or resulting from axe throwing. Including without limitation, those resulting from the manufacture selection delivery, possession, use of operation of such equipment.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 injury, authorize the staff of King Pin Entertainment Center to render first aid and hereby authorize the King Pin Entertainment Center Staff to act for me in case of emergency. I also waive and release King Pin Entertainment Center for any and all liability for any and all injuries and illness that occur while participating in axe throwing.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.Accept full responsibility for return of all equipment in good condition or to pay replacement cost upon termination of the game.On behalf of myself, my estate, heirs, executors, administrations, and assigns do hereby indemnify the owners of King Pin Entertainment Center, 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 partyHave read and fully understand this "Axe Throwing Agreement and Liability Waiver" and recognize that it is a legally binding contract. If I have any doubts concerning any aspect of its content, I will not participate until I obtain legal advice.Photo & Video Release: I hereby irrevocably grant King Pin Entertainment Center, 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, or digital media at their discretion and to incorporate the same into video, TV, radio, web or print advertisement, or video for King Pin Entertainment Center promotions without payment of fees.
Date

MonthDayYear
Date
Participant's Information
Participant's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Email*
example@example.com
This is to certify that (choose only 1 option):*

I, the participant, am at least 18 years of age (Minors see second choice 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.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 King Pin Entertainment Center 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.
Participant's Signature

Clear
For Participants of Minority Age

(under age 18 at the time of the registration)
This is to certify that I, as parent/guardian with legal responsibility for this participant:

The child's name is entered above as a "Participant" above.I declare I am the legal parent/guardian of this minor child.
Legal Parent/Guardian Name

First NameLast Name
Legal Parent/Guardian Signature

Clear
Please Note: Waivers are kept on file and contract remains valid until written notice is received to terminate such agreement.
Booking ID
Session ID
Should be Empty:

Axe Throwing Agreement & Liability Waiver

Warning! You're Throwing Sharp, Pointy, Dealy Things...

Participant's Information

For Participants of Minority Age