I HEREBY ASSUME ALL OF
THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT AND
ESTABLISHMENT, 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 activities,, 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 activities.
In consideration of my application and permitting me to participate in the
activities, 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 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 the
activities, THE FOLLOWING ENTITIES OR PERSONS: Hatchet House 2 LLC dba Hatchet Haus Bar & Grill, and their owners, directors, officers, employees,
volunteers, representatives, and agents, and the activity holders, sponsors,
and property owners (6662 Delmar Blvd Suite C Saint Louis MO 63130.)
(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 the
activities, whether caused by the negligence of release or otherwise. I
acknowledge that Hatchet House 2 LLC dba Hatchet Haus Bar & Grill, and their owners, directors, officers, volunteers, representatives, and
agents are NOT responsible for the errors, omissions, acts, or failures to act
of any party or entity conducting any specific activities on their behalf.
I acknowledge that the activities 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 activities. These risks are not only inherent to participants,
but are also present for volunteers.
I hereby consent to receive medical treatment that may be deemed advisable in
the event of injury, accident, and/or illness during the activities.
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.
Photo & Video Release: I hereby irrevocably grant Hatchet House 2 LLC dba Hatchet Haus Bar & Grill, its successors and partners the right
to record my likeness and/or voice on tape, film or digital media. I also allow
them to edit such tape, film, or digital media at their discretion and to
incorporate the same into video, TV, radio, web or print advertisement, or
video for Hatchet House 2 LLC dba Hatchet Haus Bar & Grill promotions without payment of fees.
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 SIGN IT OF MY
OWN FREE WILL.
FOR PARTICIPANTS OF MINORITY AGE
(under age 18
at the time of registration)
This is to certify that I, as parent/guardian with legal responsibility for
this participant, do consent and agree to his/her release as provided above of
all the releases, and for myself, my heirs, assigns, and next of kin. I release
and agree to indemnify and hold harmless Hatchet House 2 LLC dba Hatchet Haus Bar & Grill from any and all liabilities incident to my minor
child's involvement or participation in these programs as provided above, EVEN
IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
Please ensure the child's name is entered above as a “Participant.”
I declare I am the legal parent/guardian of this minor child. Initials:
Please Note:
Waivers are kept on file and contract remains valid until written notice is
received to terminate such agreement.