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Rollerize Waiver Form
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I Have Read & Agree to the Terms Above
*
I AM AWARE THAT THIS IS A CONTRACT & I SIGN IT OF MY OWN FREE WILL. BY CHECKING THIS BOX I AGREE THAT I HAVE READ & UNDERSTAND THIS AGREEMENT & ACCEPT THE TERMS & CONDITIONS HEREIN.
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Rollerize Roller Disco DISCLAIMER
This is a legally binding document. Do not sign unless you wish to be bound by its terms.
In order to participate in the services and activities including roller skating, games, races and any other activities (collectively referred to herein as “ACTIVITIES”), provided by Rollerize Roller Disco, any of its affiliates, and their agents, owners, officers, directors, employees, contractors, representatives and any other persons acting in any capacity on their behalf (together “Rollerize Roller Disco”), I hereby acknowledge and agree to the following by signing this disclaimer agreement (“agreement”):
I am a competent adult aged 18 years or older or the parent, legal guardian or Responsible Adult (as defined below) of a child who is under the age of 18 years (“child”) participating in the ACTIVITIES.
If this agreement is signed by me on behalf of a child, I confirm that child’s full name and age are printed above and that either (i) I am the parent / guardian of that child; or (ii) where I am not the parent / guardian of that child, the child’s parent / guardian has granted permission for me to assume responsibility for that child (“Responsible Adult”) and for me to have the right to sign this agreement on their behalf.
My (/the child’s) involvement in the ACTIVITIES is voluntary, and I am (/the child is) acting under my (/their) own free will.
The ACTIVITIES are physically demanding and the risk of injury from the ACTIVITIES is significant, including the potential for serious bodily injury, permanent disability, paralysis and loss of life. I acknowledge that such risks cannot be eliminated entirely without jeopardising the essential qualities of the ACTIVITIES and that while rules, equipment and self-discipline may reduce the risks, the risk of injury and loss of life does still exist.
I (/the child) must not participate if pregnant or under the influence of alcohol or non-prescription drugs.
I (/the child) will make a staff member aware immediately of any issues with the skates if provided by Rollerize Roller Disco, so that the issue can be resolved right away.
To reduce the risks, I (/the child) must follow the rules posted around the Rollerize Roller Disco facility and on the Rollerize Roller Disco website, all instructions given to me by Rollerize Roller Disco at all times, and any safety videos around the Rollerize Roller Disco facility or on the Rollerize Roller Disco website. I have read (/have had read to me) the rules and have listened and understood.
I have (/the child has) no medical conditions, injuries or health concerns that make it dangerous to participate in the ACTIVITIES for myself or others. We are not qualified to express an opinion that you (/the child) are fit to safely participate. You must obtain professional advice of this from your (/the child’s) doctor before participating and, if requested, provide Rollerize Roller Disco with evidence that the doctor has determined it is safe to participate prior to being granted access.
I am solely responsible for my own (/the child’s) conduct and actions whilst participating in the ACTIVITIES.
I confirm that I am responsible for all medical expenses incurred in connection with any injury or property damage as a result of the ACTIVITIES.
I consent to me (/ the child) receiving treatment that may be deemed advisable in the event of injury, accident or illness.
I am aware Rollerize Roller Disco could take photographs or recordings of me (/the child) participating in the ACTIVITIES and using these in any media for training, health and safety or other security purposes.
This agreement will be kept on file for future visits and will govern all future participation by me (/ the child) in the ACTIVITIES. I understand that if I wish to revoke this agreement, I must contact Rollerize Roller Disco and obtain their written agreement.
If any part of this agreement is invalid or ineffective, the remainder will continue in full force and effect.
This agreement is governed by the laws of England and Wales and the venue for any legal proceedings will be the courts of England and Wales.
Sign Waiver