Waiver Form

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WAIVER AND RELEASE OF LIABILITY

This waiver is valid for one year from the date signed.
In consideration of Buckeye Axe Throwing, LLC (herein after referred to as Buckeye Axe Throwing, LLC) furnishing services and/or equipment to enable me, or the minor(s) I am signing for, to participate in AxeThrowing, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Axe Throwing equipment and my participation in Axe Throwing activities; (b) my participation in such activities and/or use of suchequipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that couldcause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of Buckeye Axe Throwing, LLC; the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of Buckeye Axe Throwing, LLC, or by any other person.
This agreement is governed by the laws of the State of Ohio, any dispute, action, or claim shall be brought inthe courts of Licking County, Ohio.
I, ON BEHALF OF MYSELF, MY PERSONAL REPRESENTATIVES AND MY HEIRS, HEREBYVOLUNTARILY AGREE TO RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, DEFEND AND INDEMNIFY BUCKEYE AXE THROWING, LLC AND IT’S OWNERS, AGENTS, OFFICERS, AND EMPLOYEES FROM ANY AND ALL CLAIMS, ACTIONS, OR LOSSES FOR BODILY INJURY, PROPERTY DAMAGE, WRONGFUL DEATH, LOSS OF SERVICES OR OTHERWISE WHICH MAY ARISE OUT OF MY USE OF AXE THROWING EQUIPMENT OR MY PARTICIPATION IN AXE THROWING ACTIVITIES. I SPECIFICALLY UNDERSTAND THAT I AM RELEASING, DISCHARGING
AND WAIVING ANY CLAIMS OR ACTIONS THAT I MAY HAVE PRESENTLY OR IN THE FUTURE FOR NEGLIGENT ACTS OR OTHER CONDUCT BY THE OWNERS, AGENTS, OFFICERS OR EMPLOYEES OF BUCKEYE AXE THROWING, LLC. MEDICAL PERMISSION AUTHORIZATION
If the participant is of minority age, the undersigned parent or guardian hereby gives permission for Buckeye Axe Throwing, LLC to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in axe throwing activities from this date on.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE BUCKEYE AXE THROWING, LLC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
I further agree that I have read, and will adhere to all Safety Rules for the Buckeye Axe Throwing, LLC Facility, and I have watched the safety briefing, either on line, or at the facility. I understand that as a public facility, pictures and or video may be taken by Buckeye Axe Throwing, LLC staff or others, and I grant them the right to publish, and re-publish video, photographic portraits or pictures of me in which I may be included, in whole or in part. By hitting accept, 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 which is available at our location. By hitting accept, 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.