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Waiver and Release

WAVIER AND RELEASE OF LIABILITY
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I, the parent or legal guardian hereby waive my rights and the rights of my child, the participant(s) named below or I have obtained permission from the parent or legal guardian of the participant(s) named below to hold Ride N Zone, Inc., its managers, employees, owners, landlord, agents, and representatives liable for any damages or injuries suffered by any participant, whether such damages are caused by physical injury, loss of property, acts of a third party or any other cause of whatever description no matter what the source may be, and I agree to indemnify Ride N Zone, Inc., its managers, employees, owners, landlords, agents, and representatives from all of such claims, including attorney fees and costs. I agree that the participant(s) named below and I shall comply with all stated and customary terms, safety videos, posted safety signs, rules, and verbal instructions as conditions for participation in any party and/or program at Ride N Zone, Inc. I, for myself, and the participant(s) named below hereby consent to the publication of personal pictures and videos, which may be taken by Ride N Zone, Inc. personnel. Publication may include advertising materials and our website.

Participant Name: ____________________________Participant Date of Birth ___/____/___

Participant Name: ____________________________Participant Date of Birth ___/____/___

Parent\Guardian Signature:_______________________________Date:________________

Parent\Guardian Printed Name: ______________________________________________

Address: ____________________________________City:____________St:____Zip:______ Emergency Contact Phone#:_________________________email:______________________________ (Optional)

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DRIVERS LICENSE / SAFETY ID

Participant Name________________________ Shirt Color_________ Picture #_____

DOB______________Ht_______WT________Sex_______ Eye Color______

 

Participant Name_______________________ Shirt Color________ Picture#_____

DOB______________Ht_______WT________Sex_______ Eye Color_______

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Downloadable PDF Version

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