WOW Rolling Event Skate Waiver
This waiver is to participate in skate events (Quads and Coffee) in the Track Shack parking lot (1050 N Mills Ave) in conjunction with Framework Craft Coffee and Party in the Parking Lot.
If you have any questions, please contact Dorsa Vaziri at 407-341-2131 or
Sign in to Google
to save your progress.
WAIVER DETAILS - Please read and Sign below!
WAIVER & RELEASE FORM – FOR ADULTS PARTICIPANT RELEASE OF LIABILITY
READ IN ENTIRETY BEFORE SIGNING.
--In consideration for being allowed to participate in any way at Quads and Coffee at Framework Craft Coffee Bar in conjunction with Track Shack, its related events, and activities, the undersigned acknowledges, appreciates, and agrees that:
The risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist; and,
I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees (as defined in paragraph 4 below) or others, and assume full responsibility for my participation; and,
I willingly agree to comply with and abide by the stated and customary rules, terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/ or in the program itself or in the park condition, I will remove myself from participation and bring such to the attention of the nearest Quads and Coffee or Framework Craft Coffee Bar official immediately; and,
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify and hold harmless, the Framework Craft Coffee Bar, Track Shack, and their officers, agents, employees, other participants, sanctioned events, sanctioned organizations, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of Quads and Coffee at Framework Craft Coffee Bar in conjunction with Track Shack (releasees) from any and all claims arising out of my presence at Quads and Coffee at Framework Craft Coffee Bar in conjunction with Track Shack, including, but not limited to, claims for any and all injuries, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law, including attorney’s fees and attorney’s fees on appeal.
This Agreement shall be governed by the laws of the State of Florida, and any legal action relating to or arising out of this Release and Indemnity shall be commenced exclusively in the Circuit Court of the Ninth Judicial Circuit in and for Orange County, Florida (or if such Circuit Court shall not have jurisdiction over the subject matter thereof, then to such other court sitting in said county and having subject matter jurisdiction). I certify I am 18 years of age or older.
Under Florida law, Framework Craft Coffee Bar and Track Shack are not liable to any person who voluntarily participates in skateboarding, inline skating, or freestyle or mountain and off-road bicycling for any damage or injury to property or persons which arises out of a person’s participation in such activity, and which takes place in an area designated for such activity.
--I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. I attest that I am physically fit and have been trained for this activity. I also waive and release the use of my photograph or likeness for any reason or purpose. I want to participate in this hazardous sport!
--MEDICAL RELEASE: In the event that I am unconscious or otherwise unable to make medical decisions for myself in an emergency, I hereby give permission for medical treatment and accept financial responsibility for medical treatment, including related transportation, to any licensed physician, surgeon, clinic, hospital or ambulance service to secure proper treatment, and to order anesthesia, for myself as named above.
--Helmet opt-out (for skateboard, in-line skating, and BMX participants only): By signing below, I assume all risks as stated above as well as in FL Statute 316.0085, and reserve the right to opt out of wearing a helmet.
Type of Participation
Select all that apply!
None / Spectating
Roller Skating / Quads
Scooter / Other
I understand the following waiver is in place for my safety and the safety of others.
By submitting this form, I agree to the following waiver and release form
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service