SKANK SKATES INTERNATIONAL, INC.
1101 South Grand Avenue East, Springfield IL 62703, (217) 522-7267
The undersigned acknowledges that skateboarding,
inline skating, roller skating, BMX and other bicycle riding are inherently
dangerous activities, but still desires to participate in these activities
at his or her own risk. If a
parent or guardian of a minor, the undersigned agrees to allow the minor
named to participate in the “risks” at his or her own risk. If a parent or guardian of a minor, the undersigned agrees to allow
the minor named to participate in the “risks” at his or her own risk. The undersigned is further aware that the usual
risks, hazards and dangers (hereinafter “risks”) of personal injury,
death, disability, property damage and other loss, necessarily increase
when using ramps, curbs, steps, half pipes, inclines or declines, bowls
or any other structure and device.
These risks include but are not limited to, uncontrollable boards
and bicycles, falling, jumping, landing, performing tricks, colliding
with others, such as staff, media personnel and spectators.
These risks are further increased when other persons, whether
or not of the same level of experience or skill, are present at the
same time and using the same facilities.
The risks may vary from time to time and day to day based on
the course design, setup, equipment, type of event, and other factors.
2) HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE ARISING OUT OF OR RELATED TO THE USE OF ITS PREMISES, OR EQUIPMENT, OR OTHER FACILITIES OF THE CORPORATION, WHETHER CAUSED BY AN ACT OF NEGLIGENCE OF RELEASED OR OTHERWISE;
3) HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASED FROM ANY LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR ARISING OUT OF OR RELATED TO USE OF ITS PREMISES, OR EQUIPMENT, OR OTHER FACILITIES OF THE CORPORATION, WHETHER CAUSED BY AN ACT OF NEGLIGENCE OF THE RELEASED OR OTHERWISE;
The undersigned further agrees that this instrument (the terms of which collectively are referred to as Release and Waiver form) is intended to be as broad and inclusive as is permitted by the laws of the State of Illinois and that if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full force and effect.
Participants are strongly encouraged to wear an adequate helmet while participating and use of additional protective gear including footwear, elbow and kneepads is recommended. Participants are required to follow all rules of conduct and are not to take unreasonable risks while using the facility, including causing any other riders an unreasonable risk of harm.
I HAVE COMPLETELY READ AND UNDERSTAND
THIS RELEASE AND WAIVER FORM AND ITS TERMS. I UNDERSTAND THAT I HAVE GIVE UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT
INDUCEMENT, ASSURANCE OR GUARANTY BEING MADE TO ME. PRIOR TO SIGNING THIS RELEASE AND WAIVER, I HAVE HAD THE OPPORTUNITY
TO ASK ANY QUESTIONS ABOUT THE RELEASE AND WAIVER, SKANK SKATES INTERNATION,
INC., AND ITS PREMISES OR OTHER FACILITIES OF THE CORPORATION.
OR BE NOTARIZED. County of Sangamon )