HATCHET HOUSE
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISK OF PARTICIPATING IN ANY/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 ot 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 considerations of my application and 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 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: Hatchet House/ or their
owners, directors, officers, employees, volunteers, representatives, and agents, and the
activity holders sponsors, and property owners (789 Hebron Rd Suite D).
{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.
HATCHET HOUSE
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I acknowledge that Hatchet House, 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 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 ot limited to, those caused by terrain, facilities, temperature,
weather, condition of participant, 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 volunteers.
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 hold4rs, 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 SIGN IT OF MY OWN FREE WILL.
