Release Of Liability, Assumption Of Risk. Indemnification And Waiver Agreement

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RELEASE OF LIABILITY, ASSUMPTION OF RISK.
INDEMNIFICATION AND WAIVER AGREEMENT
I, (PARTICIPANT
or
PARENT), on behalf of myself or my minor child, my heirs, executors, administrators and assigns, release, waive,
discharge and covenant not to sue Zero Gravity Trampoline Park, LLC ("Zero Gravity"),
its
owner, officers, governors, contractors, agents and
employees and
agree
to hold it harmless from all liability for
its
negligent acts or omissions resulting from any participation in
trampoline
court
activities, laser tag, or other amusement activities, known or unanticipated, that result in physical or
emotion injury, paralysis, death or damage to myself, to my minor child, or to our property.
I acknowledge on behalf of myself or my minor child that the
activities
and services offered by Zero Gravity are inherently dangerous and
may
cause
injury or damage. I a
assuming
on behalf of myself or my minor child all risk of personal
injury,
death or disability which may result from
participation or use of Zero Gravity’s
facilities
or
activities.
This Release, Assumption of Risk, Indemnification, and Waiver specifically
extends
to
the
use of trampolines,
laser tag, and other equipment
and the
premises of Zero Gravity and
includes
any claim for
strict liability arising
out
of
the
use of such trampolines, laser tag, or
equipment.
I
certify that
I
have adequate
health insurance to cover
any injury or
damage
caused
to
me
or my
minor children, or else I agree
to
personally
bear
the
cost of such injury or damage.
I agree that this
Agreement
extends
forever
into the future and covers any
visit for
which
this Release, Assumption
of
Risk,
Indemnification,
and
Waiver
applies
as
well
as any
return or
repeat visits by
either
myself or my
minor
child
in
the future.
I
agree
to
defend,
indemnify
and
hold Zero Gravity harmless
from
any and
all losses,
liabilities, claims, damages or
other financial
harm incurred by
Zero Gravity,
including reasonable
attorneys'
fees, as a result of any actions of myself or
my minor
child as
well as
any injury
or
damage
caused
to any
other
person
during my participation and activities at Zero Gravity.
I
hereby
authorize
and
consent
to the use of my voice, photograph and likeness as
well
as that of any minor
child
covered by this
Agreement by Zero Gravity without reservation or limitation.
I
agree to receive no
compensation
for this
use, and
property rights to any
photographs
or
video material produced
or
prepared by Zero Gravity
shall
vest in and remain with Zero Gravity. The
waiver
and release included in
this Agreement shall extend to the use
of
voice,
photograph or
likeness covered by this
paragraph.
I UNDERSTAND THAT BY
EXECUTING THIS AGREEMENT
I AM GIVING UP
ANY RIGHT
TO BRING
A LEGAL
ACTION OR
ASSERT
A CLAIM AGAINST ZERO GRAVITY FOR
ITS NEGLIGENCE
OR FOR ANY
DEFECTIVE
PRODUCT
ON ITS
PREMISES. THIS
RELEASE,
ASSUMPTION
OF RISK,
INDEMNIFICATION, AND WAIVER
AGREEMENT SHALL BE
CONSTRUED UNDER
THE LAWS
OF THE STATE OF
MINNESOTA.
PARENT OR ADULT PARTICIPANT’S INFORMATION:
/
/
Print Name of Parent____________________________________________________Parent’s Date of Birth:
(mm/dd/yyyy)
Signature of Participant OVER 18 and/or PARENT of minor ____________________________________________
CHILDERN’S INFORMATION:
/
/
Print Name of Child_____________________________________________________________ Date of Birth:
(mm/dd/yyyy)
/
/
Print Name of Child_____________________________________________________________ Date of Birth:
(mm/dd/yyyy)
/
/
Print Name of Child_____________________________________________________________ Date of Birth:
(mm/dd/yyyy)
/
/
Print Name of Child_____________________________________________________________ Date of Birth:
(mm/dd/yyyy)
Optional Email: ____________________________________________________

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