I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY AND ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, 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 that preclude my participation in this activity.
I acknowledge that this Accident
Waiver and Release of Liability Form will be used by the event holders,
sponsors, and organizers of the activity in which I may participate, and that
it will govern my actions and responsibilities at said activity. In consideration of my application and
permitting me to participate in this activity, I hereby take this 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 my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: SCENE75 ENTERTAINMENT CENTER, LLC, SCENE75 COLUMBUS ENTERTAINMENT CENTER, LLC, SCENE75 ENTERTAINMENT CENTER BRUNSWICK, LLC, SCENE75 CINCINNATI ENTERTAINMENT CENTER, LLC, and SCENE75 PITTSBURGH ENTERTAINMENT CENTER, LLC, or their owners, directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and property owners.
(B) INDEMNIFY, HOLD HARMLESS, AND
PROMISE NOT TO SUE the entities or persons mentioned in (A) 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 SCENE75
ENTERTAINMENT CENTER, LLC, SCENE75 COLUMBUS ENTERTAINMENT CENTER, LLC, SCENE75 ENTERTAINMENT CENTER BRUNSWICK,
LLC, SCENE75 CINCINNATI ENTERTAINMENT
CENTER, LLC, and SCENE75 PITTSBURGH ENTERTAINMENT CENTER, LLC, their owners, directors,
officers, employees, volunteers, representatives, and agents 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 terrain, facilities, temperature,
weather, condition of participants, equipment, vehicular traffic, lack of
hydration, and actions of other people including, but not limited to,
participants, volunteers, monitors, and/or producers of the activity. These
risks are not only inherent to participants, but are also present for
I hereby consent to receive
medical treatment that may be deemed advisable in the event of injury,
accident, and/or illness during this activity.
I understand that 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.
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.
I CERTIFY THAT I HAVE READ
THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A
RELEASE OF LIABILITY AND A CONTRACT AND I AM SIGNING IT OF MY OWN FREE WILL.