ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM

 

Name of Activity or Event: BARM WRESTLING

Activity Organizer: EXPLOSIONZ ENTERTAINMENT

I HEREBY ASSUME ALL OF THE RISKS, KNOWN OR UNKNOWN, OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE BARM WRESTLING TABLE, EQUIPMENT AND CONTESTS including by way of example and not limitation,any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health- related reasons or problems which preclude my participation in this activity. I hereby agree that I have been fully advised of the nature and extent of the activity of which I am about to participate.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the maker, distributor, owner, lessor, lessee’s, event holder(s), sponsor(s) and organizers of the BARM Wrestling activity in which I may participate, and that it will govern my actions and responsibilities at said activity.

In consideration of permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for the death, disability, personal injury, property damage,property theft, or actions of any kind which may hereafter occur to myself or anyone else due to my participation in this activity, THE FOLLOWING ENTITIES OR PERSONS: EXPLOSIONZ ENTERTAINMENT, EXPLOSIONZ LLC (herein collectively called RELEASEE) RELEASEE’S lessee’s, agents, employees, representatives, heirs, executors, administrators, successors and assigns;

(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity whether caused by the negligence of release or otherwise.

I acknowledge that EXPLOSIONZ ENTERTAINMENT, EXPLOSIONZ LLC (collectively called RELEASEE) RELEASEE’S lessee’s, agents, employees, representatives, heirs, executors, administrators, successors and assigns are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that this activity may involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by facilities, temperature, condition of participants, equipment, lack of hydration, and actions of other people including but not limited to, participants, Monitors, and / or producers of the activity. These risks are not only inherent to the participant’s, but are also present for all.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and /or illness during this activity.

I understand while participating in this activity, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.

I hereby certify, state and confirm that I am over the age of 21 years.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

This Document is effective on ANY and ALL occasions that I may participate in any BARM Wrestling activity or contest.

I CERTIFY THAT I HAVE READ (OR HAVE HAD READ TO ME) THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
 

Participant's Name (required)

Participant's Driver's License Number (required)

Participant's Date of Birth (required)

Today's Date (required)