You are about that digitally sign Chatham Axes, Inc. Liability waiver. No outside food or drink is permitted.No open-toed shoes are permitted.Axe throwers 18 or younger must be accompanied by a parent or guardian at all times during their throwing session.Axe sharing is not permitted. Start Waiver Chatham Axes Liability Waiver WELCOME TO CHATHAM AXES * * I AM OVER THE AGE OF 18 If I am executing this document as a parent/guardian of a minor child, I represent and warrant that I have the legal right to execute this Agreement on behalf of the minor and that the release, once executed by me, is fully enforceable in accordance with its terms. I agree to indemnify the Releasees in the event the representation is not accurate. If the participant listed above is a minor under the age of 18, a legal guardian (over the age of 18) must sign and date below giving permission for the participant to take part in these activities. Yes No Name * First Name Last Name Gender * Female Male LGBTQIA Prefer Not to Say Birthdate * Axe throwers 18 year or younger must be accompanied by parent/guardian at all times. MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Email * Reason for today's fun? * Axe Therapy Birthday other Outing with friends Company Event Team Building Bachelor/Bachelorette party Date Night Is this your first time throwing axes? * Yes No * Chatham Axes, Inc. Waiver of Liability: Assumption of Risk and Indemnity Agreement Photo and Ad Publicity Media Release Consideration: In consideration of being permitted to participate in any way in the Sport of Hatchet Throwing, hereinafter called “Activity”, I, for myself, my spouse, minor child/children, my heirs, personal representative and estate or assigns, do hereby waive liability, release and forever discharge, its owners, officers, directors, principals, volunteers, participants, clients, customers, invitees, agents, trustees, employees, independent contractors, insurers, facility operators, land and/or premises owners, and any and all other persons and entities acting in any capacity on its behalf, from any and all demands, rights, causes of action, and damages of whatever kind or nature, arising out of all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, including but not limited to serious bodily injury or death, resulting from my voluntary participation in or in any way connected with the Activity. Assumption of Risk: Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The risks range from (1) minor injuries such as scratches, bruises, and cuts; (2) major injuries such as eye injury or loss of sight, joint or bodily injuries; and (3) catastrophic injuries including paralysis and death. I HEREBY ASSUME ALL RISKS OF DAMAGE, LOSS, PERSONAL INJURY, OR DEATH, INCLUDING ANY SUCH LOSS DUE TO ANY NEGLIGENCE OF CHATHAM AXES, INC.. *I have read the previous paragraphs and I acknowledge, know, understand and appreciate these and other risks that are inherent in the Activity. *I hereby assert that my participation is voluntary and that I knowingly assume all such risks. INDEMNIFICATION AND HOLD HARMLESS: I FURTHER AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS CHATHAM AXES, INC.., ITS OWNERS, OFFICERS, DIRECTORS, AGENTS, TRUSTEES, AGENTS, REPRESENTATIVES, EMPLOYEES, AND ANY AND ALL OTHER PERSONS OR ENTITIES ACTING IN ANY CAPACITY ON ITS BEHALF FROM ANY AND ALL LIABILITIES, DAMAGES, CLAIMS, LAWSUITS, ATTORNEYS’ FEES AND EXPENSES, AND ACTIONS OF ANY KIND FOR ANY DAMAGE OR INJURY ARISING OUT OF MY PARTICIPATION IN THE ACTIVITY, INCLUDING ANY DAMAGE, LOSS OR INJURY CAUSED BY ANY ACT OR OMISSION ON THE PART OF CHATHAM AXES, INC.. Severability: I also agree that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as permitted by the law of the State of NORTH CAROLINA and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, and fully understand its terms. I certify that I am 18 years of age and suffering under no known legal disabilities; I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Photo/Media Release: I hereby freely and irrevocably grant to Chatham Axes, Inc. and its authorized employees and agents, the absolute right and permission to copy, exhibit, copyright, use, take, distribute and/or publish my photographic likeness, name, voice, and/or image made in relation to my participation in the Activity in photographs, video and in any and all other media, in which I may be included in whole or in part, or in composite form in conjunction with my name and other identifying information, or reproductions thereof in color or otherwise, made through any media for art, print, web, social media, advertising, film, telecast or any other lawful purpose whatsoever. I also grant Chatham Axes, Inc. the same right and permission to use written or verbal statements or testimonials made by me. It is understood that no compensation has been paid and that no fee or compensation shall be due to me for my giving permission for use of my photographic image, likeness, name, or voice. I, ON BEHALF OF MYSELF AND/OR ON BEHALF OF MY SPOUSE AND/OR MINOR CHILDREN HEREBY HOLD HARMLESS AND RELEASE AND FOREVER DISCHARGE AND AGREE NOT TO SUE, CHATHAM AXES, INC., ITS OWNERS, OFFICERS, DIRECTORS, AGENTS, TRUSTEES, REPRESENTATIVES, EMPLOYEES, AND ANY AND ALL OTHER PERSONS OR ENTITIES ACTING IN ANY CAPACITY ON ITS BEHALF FROM ANY ALL ACTS OR OMISSIONS, CAUSES OF ACTION, SUITS, SUMS OF MONEY, CONTROVERSIES, DAMAGES, JUDGMENTS, EXECUTIONS, CLAIMS AND DEMANDS, WHICH I, MY SPOUSE, MINOR CHILDREN, HEIRS, REPRESENTATIVES, EXECUTORS, OR ANY OTHER PERSONS ACTING ON MY BEHALF OR ON BEHALF OF MY ESTATE HAVE OR MAY HAVE BY REASON OF THIS AUTHORIZATION. By signing and abiding by this waiver of liability, you are also agreeing to abide by the following house rules at Chatham Axes, Inc.: 1) To exercise common sense and play responsibly. 2) To permit only one person per lane allowed in the throwing zone (designated by caution tape). 3) that hatchets can only be retrieved after both participants throw. 4) To never retrieve a Hatchet before opponent throws. 5) After your turn, to return the Hatchet to the holder. (No hand-offs please.) 6) that Hatchets are not to be taken out of pit area and are always to be handled in a safe manner. 7) If you are visibly intoxicated the management and/or employees reserve the right to terminate your Hatchet throwing at their discretion. 8) You agree that violating any of the above rules or by putting yourself or anyone else in harm’s way will result in termination of your hatchet throwing with no refund. Electronic Signature Authorization: By applying my electronic signature to this agreement, I agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this agreement, I 1) acknowledge that I have read and fully understand the terms of the agreement; 2) voluntarily agree to be bound by this agreement; and 3) certify that I am 18 years of age or older. My signature applies to all pages of this contract. I understand that I will receive a Portable Document Format (PDF) version of this agreement after it is signed at the email address I have provided. To view the PDF document, I understand that I will need software that enables me to receive and access PDF files such as Adobe Reader software or other software capable of reading a PDF file. In order to print and retain a hard copy of this agreement, I understand that I will also need a printer connected to my computer. I understand that if I wish to sign a hard copy of this agreement instead of an electronic version, I must contact the party that requires my signature on this agreement directly. First Name Last Name Thank you!