A CKNOWLEDGEMENT OF RISK, RELEASE OF LIABILITY,
INDEMNIFICATION AGREEMENT, AND COVENANT NOT TO SUE
(“ACTIVITIES PARTICIPATION AGREEMENT”)
In
c onsideration
o f
b eing
a llowed
t o
p articipate
i n
a ny
t raining,
e vents
a nd
a ctivities
( “Activities”)
a ssociated
w ith
S pooky
N ook
S ports,
I nc.
,
a /k/a
The
S ports
C omplex,
a /k/a
S pooky
N ook
S ports,
a /k/a
N ook
S ports
( “The
N ook”),
l ocated
a t
2 913
S pooky
N ook
R oad
i n
E ast
H empfield
T ownship,
I ,
_____________________________,
t he
u ndersigned,
a cknowledge,
a ppreciate
a nd
a gree
t hat:
1.
The
r isk
o f
i njury
f rom
t he
t raining,
e vents
a nd
a ctivities
( “Activities”)
a t
T he
N ook
i s
s ignificant,
i ncluding
t he
p otential
f or
p ermanent
paralysis
a nd
d eath,
a nd
w hile
p articular
t raining,
s kills,
e quipment,
a nd
p ersonal
d iscipline
m ay
r educe
t his
r isk,
t he
r isk
o f
s erious
i njury
does
e xist.
2.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM NEGLIGENCE OF THE
RELEASEES (as defined below) or others, and assume full responsibility for my participation in Activities at The Nook.
3.
Despite
s uch
r isks,
I
w illingly
a gree
t o
p articipate
i n
A ctivities
a t
T he
N ook
a nd
c omply
w ith
t he
t erms
a nd
c onditions
f or
p articipation
i n
the
A ctivities
a t
T he
N ook,
w hich
I
a cknowledge
r eceiving
a nd
u nderstand
c ompletely.
I f
I
o bserve
a ny
u nusual
s ignificant
h azard
d uring
my
p resence
o r
p articipation,
I
w ill
r emove
m yself
f rom
p articipation
a nd
w ill
n otify
T he
N ook
o f
s uch
h azard
i mmediately.
4.
I
c ertify
t hat
I
a m
p hysically
a nd
m entally
f it
t o
p articipate
i n
A ctivities
a t
T he
N ook
a nd
h ave
n ot
b een
a dvised
b y
a
q ualified
m edical
professional
n ot
t o
p articipate
i n
a ny
A ctivities
s uch
a s
t hose
o ffered
a t
T he
N ook.
I
c ertify
t hat
t here
a re
n o
h ealth-‐related
r easons
o r
problems
w hich
p reclude
m y
p articipation
i n
t hese
A ctivities
o r
e vent
a nd
h ave
d isclosed
t o
T he
N ook
a ny
u nderlying
m edical
c onditions.
5.
I
h ereby
c onsent
t o
r eceive
m edical
t reatment
w hich
m ay
b e
d eemed
a dvisable
b y
T he
N ook
i n
t he
e vent
o f
i njury,
a ccident,
a nd/or
illness
d uring
m y
p articipation
i n
A ctivities
a t
T he
N ook.
I
a gree
t hat
I
w ill
n ot
h old
t he
R eleasees
r esponsible
f or
a ny
c laims
r esulting
from
a ny
m edical
t reatment
I
r eceive.
I
c ertify
t hat
I
c urrently
h ave
m edical/health
i nsurance
t o
c over
a ny
i njuries
t hat
I
m ay
s ustain
during
m y
p articipation
i n
A ctivities
a t
T he
N ook.
6.
I
h ereby
a gree
t o
a llow
t he
N ook
t o
r ecord
a nd
p ublish
p hotos
a nd
v ideos
( including
a udio)
o f
m yself
f or
t he
p urpose
o f
p romoting
t he
Nook
a nd
f or
d ocumenting
a nd/or
r eporting
e vents
a nd
a ctivities.
7.
I RELEASE, WAIVE, AND DISCHARGE ANY AND ALL CLAIMS that I or my heirs, assigns, personal representatives, and next of kin, may
have now or in the future against The Nook, and its officers, directors, employees, contractors, subcontractors, sponsors, suppliers,
national organizations or associations, representatives, agents, affiliates, insurers, successors and assigns; other participants, teams,
sponsors, and advertisers of the Activities at The Nook; and, if applicable, owners and lessors of the premises used by The Nook
(collectively the “Releasees”) for any liability, expenses, loss or damage to person or property, injury, death or disability suffered from
or in connection with my presence or participation in the Activities at The Nook due to any cause whatsoever, INCLUDING THE
NEGLIGENCE ON THE PART OF THE RELEASEES. I HEREBY AGREE NOT TO SUE OR MAKE CLAIMS AGAINST THE RELEASEES AND GIVE UP
ALL MY RIGHTS TO DO SO.
8.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY, DEFEND AND HOLD
HARMLESS the Releasees, WITH RESPECT TO ANY AND ALL LIABILITY, INJURY, DISABILITY, DEATH or loss or damage to person or
property, or expenses or fees (including reasonable attorney’s fees) associated with my presence or participation in the Activities at
The Nook, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
9.
This
A greement
a nd
a ny
d isputes
a rising
o ut
o f
o r
r elated
t o
P articipant’s
i nvolvement
i n
A ctivities
a t
t he
N ook
o r
t his
A greement
s hall
b e
governed
b y,
c onstrued
a nd
e nforced
i n
a ccordance
w ith
t he
l aws
o f
t he
C ommonwealth
o f
P ennsylvania
w ithout
r egard
t o
c onflict
o f
law
p rinciples.
J urisdiction
a nd
v enue
f or
a ny
d isputes
a rising
o ut
o f
o r
r elated
t o
P articipant’s
i nvolvement
i n
A ctivities
a t
t he
N ook
o r
this
A greement
s hall
b e
e xclusively
i n
t he
C ourt
o f
C ommon
P leas
o f
L ancaster
C ounty
o r
t he
F ederal
D istrict
C ourt
f or
t he
E astern
D istrict
of
P ennsylvania.
10. This
A greement
c ontains
t he
e ntire
a greement
b etween
t he
u ndersigned
a nd
t he
N ook
c oncerning
i ts
s ubject
m atter.
T his
A greement
supersedes
a ny
p rior
a greements
o r
u nderstandings
b etween
P articipant
o r
P arent
a nd
t he
N ook
c oncerning
t he
s ubject
m atter
o f
t his
Agreement
a nd
w ill
r emain
i n
e ffect
a nd
u nless
a nd
u ntil
t erminated
o r
r eplaced
b y
a
n ew
w ritten
a greement.
11. If
a ny
p rovision
o f
t his
R elease
o f
L iability,
o r
t he
a pplication
o f
s uch
p rovision,
s hall
b e
r endered
o r
d eclared
i nvalid
b y
a
c ourt
o f
competent
j urisdiction,
o r
b y
r eason
o f
i ts
r equiring
a ny
s teps,
a ctions
o r
r esults,
t he
r emaining
p arts
o r
p ortions
o f
t his
R elease
s hall
remain
i n
f ull
f orce
a nd
e ffect.
PHOTOGRAPHY RELEASE
I
h ereby
a gree
t o
a llow
t he
S pooky
N ook
S ports
t o
r ecord
a nd
p ublish
p hotos
a nd
v ideos
( including
a udio)
o f
m yself
f or
t he
p urpose
o f
p romoting
Spooky
N ook
S ports
a nd
f or
d ocumenting
a nd/or
r eporting
e vents
a nd
a ctivities.
I
u nderstand
p hotographs,
v ideo
a nd/or
a udio
t ape
r ecordings
t o
be
t aken
o f
m yself
a nd/or
f amily
m embers
a t
p ractice, during competition, recreational play, as well as other Spooky Nook Sports related events. I
understand that this media will be
p roduced
a nd
u sed
f or
p romotional
p urposes,
a nd
I
a uthorize
S pooky
N ook
S ports
t o
u se
m y/our
p hotograph,
video
a nd/or
a udio
r ecording
o n
i ts
W ebsite
a nd
s ocial
m edia
p latforms,
s uch
a s
F acebook,
T witter,
Y ouTube,
F ourSquare
a nd
P interest,
e tc.,
a s
1
3623473.1