Name
*
First Name
Last Name
Select Age Category
Beginner - Saturdays 12-2pm
Under 10/12 - Thursdays 5.30-8 pm & Saturdays 2-4.30 pm
Under 12/14 -Thursdays 5.30-8 pm & Saturdays 2-4.30 pm
Under 14/16 -Wednesdays 5.30-8 pm & Sundays 12-2.30 pm
Under 16/18 - Fridays 5.30-8 pm & Sundays 2.30-5pm
Adult
Date of Birth
*
MM
DD
YYYY
Parents Name
First Name
Last Name
Phone
(###)
###
####
Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Athletic Waiver of Liability and Hold Harmless Agreement:
*
1. ASSUMPTION OF RISK. I, on behalf of myself, and/or my minor, and/or our team’s assume all of the risks that may or can arise out of participating in the activities, including but not limited to the athletic activity itself, use of equipment, field or facilities, the acts of others or the unavailability of emergency care, as well as those risks described in the preceding paragraph.
2. INDEMNITY/HOLD HARMLESS. I, on behalf of myself, and/or my minor and/or our team’s, personal representatives and/or assignees, also agree to indemnify and hold Actionzone Indoor, as well as their affiliates, parents, subsidiaries, assigns, partners, attorneys, members, employees, independent contractors, shareholders, officers, directors, and agents or any producers, investors, cast members or any other person or entity associated in any way with the creation, production or distribution of DVD’s or websites harmless from any and all claims, causes of actions, lawsuits, arbitrations or proceedings as well as from any expenses, judgments, costs, fees, damages, expenses and/or liabilities, including attorneys’ fees incurred in defending or prosecuting any such claims brought against Actionzone Indoor as the result of my or my team’s participation in the Activities.
3. RELEASE/WAIVER. In consideration for being permitted to participate in the Activities, I, on behalf of myself and/or my minor and/or our team, personal representatives and assigns HEREBY RELEASE, WAIVE AND DISCHARGE Actionzone Indoor from any and all liability associated with or related to me or my team or my minor’s participation in the Activities and agree NOT TO SUE Actionzone Indoor for any reason resulting from or associated with me, my team, or my minor’s participation in the Activities. This waiver and release is intended to include all claims for injuries, accidents, illnesses, or property loss, whether known or unknown or anticipated or unanticipated, which are in any way related to or associated with the Activities.
4. NO INSURANCE. I, on behalf of myself and/or my minor and/or my team, acknowledge that Actionzone Indoor does not carry any type of insurance on behalf of me, my team or my minor.
5. LEGAL RIGHTS. I, on behalf or myself and/or my minor and/or my team, understand and acknowledge that I/we are surrendering valuable legal rights in this agreement.
6. SEVERABILITY. I, on behalf or myself and/or my minor and/or my team, understand and expressly agree that this agreement is intended to be as broad and inclusive as permitted by the law of the State for which it is used and that if any portion of this agreement is held invalid, it is agreed that the balance of the agreement shall continue in full force and effect and that whatever portion is held invalid shall be interpreted and construed to afford as much protection to Actionzone Indoor as permitted by the applicable law
Comments (Optional)
Date
MM
DD
YYYY
