B-Rad’s Arcade & Family Fun Center Waiver BERTHOUD AXE THROWING ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact Details BERTHOUD AXE THROWING ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM *READ CAREFULLY* YOU MUST BE 18 TO USE THIS WAIVER. IF UNDER 18 YOU NEED A PARENT TO FILL OUT THE WAIVER FOR YOU! I warrant that: I am familiar with the risk of serious injury and death which any participant in this program must assume, and I believe that I am physically, emotionally and mentally able to participate in this program, and that the equipment provided to me is mechanically fit for use, and I understand that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with me, and I will immediately remove myself from participation, and notify the nearest official, if at any time I sense or observe any unusual hazard or unsafe condition or if I feel that I have experienced any deterioration in my physical, emotional, or mental health. I UNDERSTAND AND AGREE on behalf of myself, my heirs, assigns, personal representatives and next of kin, that my participation in this program and execution of this document constitutes: an unqualified ASSUMPTION OF ALL RISKS associated with participation of this program by me even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the program organizer and any persons associated therewith or participating therein, and a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the program organizer and all persons and organizations associated with it and the program including without limiting the generality of the foregoing, its officers, directors, officials, agents and/or employees, other participants, sponsors, advertisers, owners and/or lessors of premises used to conduct the program, sanctioning bodies, medical or rescue personnel (the RELEASES), of and from the respect to all injury, disability, death or loss or damage to person or property whether arising from the negligence, or negligent rescue of or by the foregoing or otherwise, and an UNDERSTANDING NOT TO SUE the RELEASES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly from participation in this program by me, and an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS THE RELEASES, and each of them from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or gross negligence of the RELEASEES or otherwise. I confirm that The Flying Axe will not be held responsible in the event of any complaint or legal action undertaken against myself as a result of drinking alcohol. In the event that The Flying Axe takes photographs or videos, I hereby assign full copyright of these photographs and videos to The Lumberjack and agree to receive emails for updates and promotions. I HAVE READ THIS DOCUMENT THOROUGHLY. I UNDERSTAND THAT THE RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY PARTICIPATION IN THIS PROGRAM. BY SIGNING THIS DOCUMENT, I GIVE UP SUBSTANTIAL LEGAL RIGHTS I WOULD OTHERWISE HAVE. I SIGN VOLUNTARILY.Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Event DetailsYour Birthday(Required)Date Of Your Event(Required) MM slash DD slash YYYY How did you hear about this event?(Required)Social MediaGoogleWord of MouthRefer a FriendPast ParticipantOtherWho are you filling out waivers for?(Required) Myself Minors Only Myself and Minors Minors InformationMinor's NameMinor's Date Of Birth Add RemoveSignature(Required)