Release Form

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

Haulin' Axes LLC

Release of liability, waiver of claims, assumption of risks and indemnity agreement. By initializing and/or signing this document you are waiving certain legal rights, including the right to sue.

I wish to participate in Haulin Axes L.L.C throwing at my own risk. I am aware that the activity is HAZARDOUS, physically strenuous and involves certain risks. Those risks include but are not limited to; the risk of property damage, serious injury to myself and/or to others, paralysis, permanent disability, loss of limbs resulting from my negligence and/or others, DEATH to myself and/or to others, malfunction of the equipment and injuries resulting from the throwing instruments (axes, knives, stars, etc.) and/or other participants not using proper safety procedures. Again, I recognize that throwing axes could result in permanent injury or DEATH to myself and/or to others.

I also understand that there is an inherent risk of injury to myself and others from these factors, from the equipment, and from other players and even though the activity is supervised by personnel that I am solely responsible for the safety, and wellbeing of myself and the minors in

my care. Despite these and other risks, and with full understanding of such risks, I wish to participate in the axe throwing and hereby assume the risks. I hereby hold the Haulin Axes L.L.C (Operator) harmless and indemnify them against any or all claims, action suits, procedures, cost expenses (including attorney's fees and expenses), damages and liabilities arising out of, connected with, or resulting from axe throwing. Including without limitation, those resulting from the manufacture, selection delivery, possession, use or operation of such equipment.

I understand that it is recommended that I have accidental medical coverage and agree that if I do not have accidental medical coverage, I will be financially responsible for any and all charges and fees incurred in the rendering of said treatment. In case of an injury, I authorize the staff of Haulin Axes L.L.C to render first aid and I hereby authorize the Haulin Axes L.L.C staff to act for me in case of an emergency. I also waive and release the Haulin Axes L.L.C from any and all liability for any and all injuries and illness that occur while participating in axe throwing.

I agree to obey the Safety Instructions and Rules and to further use the equipment so as not to injure myself or others. I agree that my right to participate in axe throwing and use the equipment may be terminated without refund if I fail to follow such Safety Instructions and Rules.

I accept full responsibility for return of all equipment in good condition or to pay replacement cost upon termination of the game. I, on behalf of myself, my estate, heirs, executors, administrators and assigns do hereby

indemnify the owners of Haulin Axes L.L.C, their suppliers, and their respective agents, officers and employees from any and all claims, actions, lawsuits, procedures, costs, expenses, damages and/or liabilities whatsoever connected with, or resulting from axe throwing or spectating and from the use of equipment or premises whether resulting from the negligence of any party or otherwise. I further agree to indemnify the same said parties against any and all liabilities that may arise between myself and a third party.

I have read and fully understand this Axe Throwing Agreement and Liability Waiver and recognize that it is a legally binding contract. If I have any doubts concerning any aspect of its content, I will not participate until I obtain legal advice. I certify that I am at least 18 years of age (Minors see below) and in good health and do not suffer from a heart condition or other ailments/conditions such as pregnancy which could be exacerbated by the exertion involved in axe throwing and that I further intend to be bound by this agreement.

Photo & Video Release: I hereby irrevocably grant Haulin Axes L.L.C, its successors and partners the right to record my likeness and/or voice on tape, film or digital media. I also allow them to edit such tape, film, or digital media at their discretion and to incorporate the same into video, TV, radio, web or print advertisement, or video for Haulin Axes L.L.C promotions without payment of fees.

CONSENT. I consent to the participation of every participant that will be using and participating, in the activity AXE THROWING, AND I am aware that the activity is HAZARDOUS, physically strenuous and involves certain risks. Those risks include but are not limited to; the risk of property damage, serious injury, paralysis, permanent disability, loss of limbs resulting from my negligence and/or others, malfunction of the equipment and injuries resulting from the throwing instruments (axes, knives, stars, etc.) and/or other participants not

using proper safety procedures. In addition, I recognize that throwing axes could result in permanent injury or death to myself or any participant that is at the event that I am hosting. By signing this Release of Liability, I represent that I have legal authority over and or custody of the

participants and each participants was advised that the waiver was signed in their name and they waive their rights to the signee of this waiver.

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.

  4. certify that I am the legal guardian of any minors claimed herein.