Waiver - Far Shot USA

Waiver – Far Shot

Participant Name*
First Last
Is Participant OVER 18?*
- OVER 18
- UNDER 18
Email*
Address*
Street Address City State Zip
Would you like to be added to our Promotions List?*
- Yes
- No
Date of Participation*
MM slash DD slash YYYY
Far Shot Location*
Organizer's Name
Check your confirmation Email! If you’re dropping in this does not apply.
Contract of Release of Liability*
TO: Far Shot Recreation Inc. and their respective directors, officers, employees, guides, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (all of whom are hereinafter collectively referred to as the “Releasees”).

DEFINITION In this Release Agreement, the term “Sports” shall include any use or participation in the Axe/Knife throwing, Archery Dodgeball, or Real Archery Range at the Far Shot facility and related equipment, and any other activities, events or services provided, arranged, organized, sponsored or authorized by the Releasees in any way associated or connected with the Axe/Knife throwing, Archery Dodgeball, or Real Archery Range.

ASSUMPTION OF RISKS I am aware that the Sports involves unusual risks, dangers and hazards including, but not limited to: accidents which may occur in the facility; slips and falls; malfunction of the equipment used; injury and open wounds; shock, stress or other injury to the body while participating in the Sports; negligence on the part of other persons; and NEGLIGENCE ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE SPORTS. I acknowledge that the Sports may result in injury, worsening of an existing medical condition, or death. I freely accept and fully assume all such risks, dangers and hazards and the possibility of injury, death, property damage or loss resulting therefrom.

MEDICAL CONDITION I understand that the Sports may place unusual stresses on the body. The Sports are not recommended for persons suffering from asthma, epilepsy, cardio/respiratory disorder, hypertension, or skeletal, joint or ligament problems or conditions, and certain mental illnesses. Women who are pregnant or suspect they are pregnant, and persons who have consumed alcohol, are not recommended to engage in the Sports. I have been advised to consult with my medical practitioner if I have any concern about my medical condition or fitness to engage in the Sports.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of the Releasees agreeing to my participation in the Sports, and permitting my use of the Sports’ equipment, room and other facilities, I hereby agree as follows:

1. TO WAIVE ANY AND ALL CLAIMS AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer, as a result of my participation in the Sports, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.O. 1990, ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES THE FAILURE ON PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE SPORTS REFERRED TO ABOVE;

2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Sports;

3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;

4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the State of NY and no other jurisdiction;

5. Any litigation involving the parties to this Release Agreement shall be brought solely within the State of NY and shall be within the exclusive jurisdiction of the Courts of the State of NY.

In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the Sports, other than what is set forth in this Release Agreement.

I agree to the contract and release of Liability
Surveillance System Consent and Release.*
Far Shot uses a video/audio streaming surveillance system for the safety and protection of its premises, staff, participants, and visitors. Surveillance is not utilized in areas where any person has a reasonable expectation of privacy, including bathrooms, locker rooms, or other changing areas. Far shot agrees to abide by all federal and state laws in regards to the capturing of audio and visual recordings, including wiretap and eavesdropping laws, as well as The Child’s Online Privacy Protection Act of 1998 and any future regulations set forth by the federal or state governments. I hereby consent to audio/video surveillance of me and/or the Participants while on the premises. I further release Far shot, its employees, agents and assignees from all liability, including liability for negligence, wiretapping, eavesdropping or privacy infringement, in connection with surveillance conducted on the premises.

I agree to the Surveillance System Consent and Release.
Consent to photo/video release
I consent to photographs and videos being taken of me during my participation in the Sports, and to the publication of the photographs and videos by the Releasees for advertising, promotional and marketing purposes.
I agree to have my photo/video released.
Signature of Participant*
Print name to sign. (If under 18, please have a parent/guardian sign below)
First Last
Name of Parent / Guardian
IF SIGNING FOR UNDER 18 PARTICIPANT ONLY
First Last

Far Shot USA

Throwing Games with Small Town Hospitality

Waiver – Far Shot