• WoodChux - Axe Throwing

    WoodChux - Axe Throwing

    Waiver and Liability Release Form
  • ASSUMPTION OF RISK - RELEASE & WAIVER OF LIABILITY - PUBLICITY
    RELEASE
    IN CONSIDERATION of being permitted to engage and participate in axe or hatchet
    throwing and related events and activities (hereinafter referred to as “Activities”) provided
    and facilitated by CCB Ventures, LLC dba WOODCHUX (“Company”), I hereby agree,
    accept and understand the following:
    1. I fully understand the risks and completely assume all risks, known and
    unknown, of participating in Activities, including the risk of death or serious bodily injury. I
    fully accept responsibility for the dangers, hazards, and risks inherent in the Activities.
    2. I represent that I am in good health and physically able and ready to
    participate in the Activities, and do not have any physical illness, injury or disability that
    would make my participation in these Activities unwise or unnecessarily risky or dangerous
    to myself or others.
    3. I accept and assume all such inherent dangers and risks of bodily injury,
    permanent disability, death, and/or property damage, even if caused, in whole or in part, by
    the negligence of the Company, and all of their respective members, managers, officers,
    directors, shareholders, affiliated organizations and entities, representatives and sponsors,
    and all volunteers, contractors, agents, members, and employees.
    4. Notwithstanding any other provision of this Agreement, and to the fullest extent
    allowed by law, for the valuable consideration of being permitted to participate in the Activities,
    I, my estate, heirs, family members, distributees, personal representatives, guardians,
    conservators, agents, successors and assigns, hereby freely, expressly, and unconditionally
    RELEASE DISCHARGE, AND WAIVE MY RIGHT TO ASSERT ANY CLAIM, DEMAND,
    AND/OR CAUSE OF ACTION NOW HAVE OR MAY HAVE IN THE FUTURE AGAINST:
    (1) the Company, and its members, shareholders, officers, owners, employees, insurers, agents,
    volunteers, subsidiaries, affiliates, successors and assigns, and any of their affiliates, subsidiaries,
    respective members, members, shareholders, directors, officers, and related persons and entities,
    in their official and individual capacities (the “Company Released Parties”); and (2) the premises
    owner and landlord who leases the premises to the Company, together with its members,
    shareholders, officers, owners, employees, insurers, agents, volunteers, subsidiaries, affiliates,
    successors and assigns, and any of their affiliates, subsidiaries, respective members, members,
    shareholders, directors, officers, and related persons and entities, in their official and individual
    capacities (the “Landlord Released Parties” and together with the Company Released Parties, the
    “Releasees”) for any injury (including without limitation, personal injury (including, but not
    limited to, death) physical or psychological injury, pain, suffering, illness, disfigurement,
    temporary or permanent disability (including paralysis) to my person, economic or emotional
    loss, premises damage or loss, or other damages resulting from my presence on the Company
    premises or my participation in the Activity, regardless of whether such injuries or damages
    result from the negligence, in whole or in part, strict liability, professional errors or omissions, or
    other acts, of myself, the Releasees, and/or any other person(s) in connection with my presence
    on the Company premises or my participation in an Activity.
    5. This release and waiver of claims is binding on me, my heirs, executors,
    administrators, legal representatives, assigns and successors in interest. I understand that I
    am giving up my right to sue the Releasees and giving up other valuable and substantial
    rights in exchange for being permitted to participate in the Activities.
    6. I agree and understand that following all instructions and rules at all times
    while participating in the Activities is a requirement for participation. I agree that if I fail to
    follow such instructions and rules and act responsibly, I waive any and all right to continue
    participating in the Activities and any benefits associated with being a participant.
    7. I agree and understand all alcohol on the premises must be authorized and
    provided by the Company and outside alcoholic beverages are not permitted on the
    premises. If I elect to consume alcohol prior to or during my participation in the Activities, I
    agree to assume all risks, known and unknown, related to consuming such alcohol and agree
    to be fully responsible and liable for any and all claims, demands, damages, losses, injuries,
    liabilities, obligations, costs or expenses of any kind which may arise due to my
    consumption of such alcohol (collectively the “Claims”). I hereby agree to indemnify,
    defend, and hold harmless the Releasees from any such Claims.
    8. I assume the risks associated with alcohol consumption and takes full
    responsibility for my own actions, safety and welfare. I agree to strictly adhere to the policies of
    the Company and state & local ordinances and laws while in a Company establishment.
    9. I agree to exercise ordinary and reasonable care at all times, and to not imbibe
    alcohol to the extent that my judgment is impaired. I understand the potential risks associated
    with the consumption of alcohol and acknowledge that I do not have or am not aware of any
    medical condition(s) that would prevent me from consuming alcohol or would result in any
    injury or damage as a result of alcohol consumption. I acknowledge and agree that the Company
    shall not be responsible or liable for any accident, injury, theft, loss or damage caused by my
    impaired judgment or negligence.
    10. I agree and understand that the Company reserves the right to refuse entry,
    suspend or cancel my participation in any Activities at any time for any reason whatsoever and
    that I may or may not receive a refund.
    11. I hereby grant permission to the rights of my image, likeness and sound of my
    voice as recorded on audio or video tape without payment or any other consideration. I
    understand that my image may be edited, copied, exhibited, published or distributed and waive
    the right to inspect or approve the finished product wherein my likeness appears. Additionally, I
    waive any right to royalties or other compensation arising or related to the use of my image or
    recording.
    12. By signing this Release, or digitally acknowledging acceptance of its terms, I
    agree that I have read the terms, agree to be bound by the terms and do so voluntarily and
    knowingly. If I am signing on behalf of a minor child, I hereby execute this Release on
    behalf of a minor child with a full and complete understanding that I am executing a
    release and waiver of potential claims on behalf of a minor child and myself.

  • I hereby state that I am at least 18 years of age and have read, understand and agree to this Waiver and Liability Release Statement, that it is an informed release and that I intend to be legally bound by it.

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