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RECREATIONAL ACTIVITY RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION <br /> OF RISK AND INDEMAIITY AGREEMENT. <br /> Please read and be certain you understand the implications of signing. . • . . <br /> Express assumption of risk associated with recreational activities. I, (please print fust <br /> name, middle name, & last name) do hereby affirm and acknowledge that I am fully informed of the inherent <br /> hazazds and risks associated with tfie recreational activity generally described as ICE SKATING, including ihe <br /> rental equipment associated therewith of which I am about to engage in. Inherent huards and risks include but aze <br /> not limited to: <br /> t. Risk of injury from the activity and equipment utilized is significant includiag the potential for permanent <br /> disability and death. <br /> 2. Possible equipment failure and/or malfunction of my own or others' equipment. <br /> 3. This activity takes place outdoors and therefore includes risks associated with exposure to elements, impact of the <br /> body upon the skating surface , encountering objecu either natwal or manmade, <br /> 4. My own negligence and/or the negligence of others, including bu[ not limited to opera[or eaor <br /> 7. Fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident. <br /> *I understand the description of these risks is not complete and that unknown or unanticipated risks may <br /> resul[ in injury, illness, or death. <br /> RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT <br /> In consideration for being pe�mitted to participate in the activity (ies) described above and related activities, I hereby <br /> agree, acknowledge and appreciate that: <br /> 1. I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INNRY, <br /> DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR <br /> OTHERWISE, the following named persons or enti[ies, herein referred to as the Re(easees. , � <br /> PERFECT PARTIES USA / MICHAEL N. GALLANT AND THE CITY OF REDWOOD CITY <br /> 2. To release t6e Releasees, their goveming bodies, officers, directors, employees, representatives, agents, and <br /> volunteers, and vessels from liability and responsibiliry whatsoever and for any claims or causes of action that [, my <br /> estate, heirs, survivors, exewtors, or assigns may have for personal injury, property damage, or wrongful death <br /> arising from the above activities whether caused by active or passive negligence of the Releasees or otherwise. By <br /> executing this document, I agree to hold the Releasees harmless and indemnify them in conjunc[ion with any injury, <br /> disability, death, or loss or damage to person or property that may occur as a result in engaging in ihe above � <br /> ac[ivi[ies. <br /> 3. By entering into this agreement, I am not relying on any oral or written representation or statements made by <br /> - these Releasees other than what is set forth in this agreement. <br /> 4. I agree to allow use of my photograph by the City of Redwood City for publicity purposes. <br /> AGR 2011.120 CHS Ska[ing Rink . <br /> 102011 <br />