Request edit access
Axem Axe Throwing Liability Waiver
Liability Waiver & Newsletter Sign Up
Sign in to Google to save your progress. Learn more
Email *
Waiver
RELEASE OF LIABILITY, WAIVER
AND ASSUMPTION OF RISK AGREEMENT

AXEM, LLC
420 N. Azusa Avenue
West Covina, California

IN CONSIDERATION of being allowed, authorized and permitted to engage and
participate in axe and/or hatchet throwing and related events and activities [hereinafter
referred to as “ACTIVITIES”] provided and facilitated by AXEM, LLC, its officers, agents,
representatives, employees and staff, (hereinafter referred to as “AXEM”), I, for myself,
my heirs, personal representative or assigns, do hereby agree and accept the terms of
this Agreement, and further, agree, accept, and understand the following:

1. I represent that I am in good health and physically able and ready to participate
in the ACTIVITIES, and do not have any physical illness, injury or disability that would
make my participation in any of these ACTIVITIES unwise or unnecessarily risky or
dangerous to myself or others.

2. I am voluntarily participating in the ACTIVITIES with knowledge of the dangers
involved and hereby agree to accept and assume any and all risks of injury, death, or
property damage, whether caused by the negligence of AXEM, or other participants in
the ACTIVITIES, or otherwise.

3. I am aware and understand that the ACTIVITIES are dangerous activities and
involve the risk of serious injury and/or death and/or property damage. Risks may arise
out of contact and/or participation with other participants, equipment, and other
mishaps. Risks may be caused by my own actions or inactions, the actions or inactions
of other participants, the condition of the facilities in which the activities take place,
including, but not limited to, those caused by terrain, facilities, temperature, equipment,
vehicular traffic, lack of hydration, monitors, and/or producers of the activity, which are
not only inherent to the particular ACTIVITIES I am engaged in, and/or the negligence
of AXEM. I acknowledge that any injuries that I sustain may be compounded by
negligent emergency operations of AXEM.

4. I am aware and understand that alcohol is not allowed on the premises. I agree
to assume all risks, known and unknown, related to consuming alcohol prior to or during
my participation in the ACTIVITIES and agree to be fully responsible and liable for all
claims, demands, damages, losses, injuries, liabilities, obligations, costs, or expenses
or any kind which may arise due to my consumption of such alcohol which is not
allowed by AXEM in the premises. I agree to strictly adhere to the policies of AXEM
and state and local ordinances and laws while in AXEM’s establishment

5. I agree and understand that I am bound to follow all instructions and rules set by
AXEM at all times while participating in the ACTIVITIES as a requirement for my
participation. I further agree that if I fail to follow any of AXEM’s instructions and rules,
  • and fail to act responsibly, I waive any and all right to continue to participate in the
    ACTIVITIES and any benefits associated with being a participant.
    6. I agree to indemnify, defend, and hold harmless AXEM, its officers, agents,
    trustees, or employees from any and all liabilities, damages, claims, lawsuits, attorney’s
    fees, and actions of any kind for any damage or injury arising out of my participation in
    the ACTIVITIES, including any and all damage, loss or injury cause by act or omission
    on the part of AXEM. I also agree that the foregoing Release, waiver and assumption of
    risks agreement is intended to be as broad and inclusive as permitted by law by the
    State of California and that if any portion thereof is held invalid, it is agreed that the
    balance shall, notwithstanding, continue in full legal force and effect.
    7. I hereby freely and irrevocably grant AXEM, 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 ACTIVITIES 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. 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.
    8. NOTWITHSTANDING ANY OTHER PROVISION OF THIS AGREEMENT, and to
    the fullest extent allowed by law, for the valuable consideration of being permitted to
    participate in the ACTIVITIES, I, my estate, heirs, family members, distributees,
    personal representatives, guardians, conservators, agents, successors and assigns,
    hereby freely, expressly, and unconditionally RELEASE, DISCHARGE, AND WAIVE
    MY RIGHT TO ASSERT ANY CLAIM, DEMAND AND/OR CAUSE OF ACTION NOW
    HAVE OR MAY HAVE IN THE FUTURE AGAINST (1) AXEM, and its members,
    shareholders, officers, owners, employees, insurers, agents, volunteers, subsidiaries,
    affiliates, successors, and assigns, and any of their affiliates, subsidiaries, respective
    members, members, shareholders, directors, officers, and related persons and entities
    in their official and individual capacities; and (2) the premises owner and landlord who
    leases the premises to AXEM, together with its members, shareholders, officers,
    owners, employees, insurers, agents, volunteers, subsidiaries, affiliates, successors
    and assigns, and any of their affiliates, subsidiaries, respective members, members,
    shareholders, directors, officers, and related persons and entities in their official and
    individual capacities and together with AXEM, for any injury (including without limitation,
    personal injury (including, but not limited to, death) physical or psychological injury,
    pain, suffering, illness, disfigurement, temporary or permanent disability (including
    paralysis) to any person, economic or emotional loss, premises damage or loss, or
    other damages resulting from my presence on AXEM’s premises or my participation in
    2 | P a g e
  • the ACTIVITIES, regardless of whether such injuries or damages result from the
    negligence, in whole or in part, strict liability, professional errors or omissions, or other
    acts, of myself, AXEM, the premises owner and/or landlord and/or any other person(s)
    in connection with my presence on AXEM’s premises or my participation in the
    ACTIVITIES.
    9. This agreement constitutes the sole and entire agreement between me and
    AXEM with respect to the subject matter contained herein and supersedes all prior and
    contemporaneous understandings, agreements, representations, and warranties, both
    written and oral, with respect to such subject matter. The terms of this Agreement are
    contractual, and are not a mere recital, and any breach of the terms of this Agreement
    may be enforced against me and may give rise to a damage claim against me
    enforceable by a further legal proceeding.
    10. This agreement is binding on and shall inure to the benefit of, AXEM and myself
    and our respective successors and assigns. All matters arising out of or relating to this
    Agreement shall be governed by and construed in accordance with the internal laws of
    the State of California without giving effect to any choice or conflict of law provision or
    rule (whether of the State of California or any other jurisdiction). Any controversy or
    claims arising out of or relating to this Agreement or performance thereunder, including,
    without limitation, any claims relating to bodily injury property damage or death, shall be
    determined and settled by binding arbitration, which arbitration shall take place in Los
    Angeles County, California.
    THIS IS A LEGALLY BINDING AGREEMENT. BY SIGNING THIS
    AGREEMENT, I GIVE UP THE RIGHT TO BRING A COURT ACTION TO RECOVER
    COMPENSATION OR ANY OTHER REMEDY FOR INJURIES OR DEATH TO ME OR
    TO MY PROPERTY, ARISING OUT OF THE ACTIVITIES, NOW OR AT ANYTIME IN
    THE FUTURE.
    I have read this waiver of liability, assumption of risk, and indemnity Agreement,
    and fully understand its terms. I certify that I am at least 18 years of age and suffering
    under no known legal disabilities; I acknowledge that I am signing this 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.
    If I am executing this documents 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 AXEM in the event the representation is not
    accurate.
  • By hitting Agree and Sign, I hereby consent to the use of my electronic signature
  • in lieu of an original signature on paper. The participant has the right to request that he
    or she sign a paper copy instead which is available at our location. By hitting Agree and
    Sign, the Participant is waving that right. After consent, I may, upon written request to
    us, obtain a paper copy of an electronic record.
    Alternatively, I may elect to have an original signature on paper.
Name/Signature *
Birthday *
MM
/
DD
/
YYYY
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report