The Lion's Gate Center Waiver and Release of Liability
By submitting this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, illness, death or damage to personal property associated with participation in a space simulation activity, party, camp or events organized or hosted by The Lion's Gate Center and Lakeview Academy. I understand that there are dangers, hazards and risks associated with space simulations and all pertaining activities. They involve dark rooms, flashing lights, fog machine smoke, and intense situations. Participants are not allowed to run, jump, or engage in any behavior that might cause risk or harm to themselves or to any other person.

Participants are required to obey all posted and announced rules. I (or my minor child) will also make every effort to obey safety precautions explained in video training, in writing, or announced verbally. I (or my minor child) will ask for clarification when needed. I acknowledge the risks involved in space simulations. I swear that I (or my minor child) am participating voluntarily, and that all risks have been made clear to me. Additionally, I (or my minor child) do not have any health conditions that will increase the likelihood of experiencing injuries while engaged in this activity.

By signing this agreement, I remain legally responsible for any personal actions taken by me (or my minor child) and agree to hold harmless and defend The Lion's Gate Center and Lakeview Academy, their officers, directors, contractors, agents, representatives, sponsors, volunteers, employees and chaperones from any illness or accident that may occur. This agreement releases The Lion's Gate Center and Lakeview Academy from all liability relating to injuries or illness that may occur during any space simulation, camp activity, birthday party or other activities. I agree to hold The Lion's Gate Center and Lakeview Academy entirely free from any liability, including financial responsibility for injuries or illness incurred, regardless of whether injuries are caused by negligence. I agree to be invoiced if I (or my minor child) damage or destroy any property at The Lion's Gate Center or Lakeview Academy. By signing my name (or my minor child's name) below, whether electronically or in writing, I forfeit all rights to bring a suit against The Lion's Gate Center or Lakeview Academy for any reason.

I also agree to and provide permission for the photographic, video, audio, and any other form of electronic recording of the named participant. I acknowledge and agree that ownership of such recordings will be retained by The Lion's Gate Center and Lakeview Academy. I authorize the use, reproduction and electronic posting of any recording referred to above for any reasonable purpose within the discretion of The Lion's Gate Center and Lakeview Academy without acknowledgment and without being entitled to remuneration or compensation. I additionally provide consent to be contacted with information concerning my chosen event such as reminders, booking summaries, promotions, etc., and know I can opt out at any time.

As a parent or legal guardian, I agree that my child will behave appropriately while on the premises of The Lion's Gate Center and Lakeview Academy and if any staff member deems the behavior of my child to be disobedient to established rules, disruptive or unsafe in any way, I will be notified and will immediately pick up my child from The Lion's Gate Center and Lakeview Academy. I have read, understand and agree to all terms and conditions of this WAIVER AND RELEASE including specifically the assumption of risk, waiver of liability and defense and indemnification provisions under which I am relinquishing legal rights.

Please Indicate if Participant is a Minor: *
Participant's First and Last Name: *
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Participant's Date of Birth: *
Participant's Address:
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Participant's Phone Number (Or Phone Number of Parent/Legal Guardian, if Participant is a Minor) : *
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Participant's Email (Or Email of Parent/Legal Guardian, if Participant is a Minor) : *
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Signature of Participant (Or of Parent/Legal Guardian, if Participant is a Minor. If Submitting Waiver Electronically, Please Type Full Name of Participant or of Parent/Legal Guardian) : *
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