ROB SKATE ACADEMY WAIVER

Full Name:
Date of Birth:

Parent / Guardian (If Under 18):

Phone Number:
Email Address:

Emergency Contact:
Emergency Contact Phone:

GENERAL WAIVER

In return for being allowed to participate in the Rob Skate Academy, I, , release and agree not to sue Rob Skate Academy, and their employees, sub-contractors, sponsors, agents, and affiliates (collectively the “Rob Skate Academy Entities”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my or my child or legal charge’s participation in the Program and caused by the ordinary negligence of the parties listed above, wherever, whenever, or however the same may occur.

I understand that participation in the event involves certain risks, including but not limited to serious injury and/or death. The participant is voluntarily participating in the event with knowledge of the dangers involved, and I agree to accept all risks of such participation.

I certify that the participant is in good physical health and may participate in strenuous and hazardous physical activities in the event.

I also agree to indemnify and hold harmless the Rob Skate Academy for all claims arising out of the participant’s participation in the event and all related activities. I agree to let Rob Skate Academy use the participant’s name and likeness free of charge in any manner and for any purpose without compensation to me.

I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Program is taking place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I further agree that any legal proceedings related to this waiver will take place in Pleasanton, California.

I hereby expressly waive all rights under Section 1542 of the Civil Code of the State of California, and under any and all similar laws of any jurisdiction. I am aware that said Section 1542 provides as follows:

“A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.”

I agree to the terms of this waiver. 

Sign Below.

Date: {sign_date}