Paint Room

YOU MUST BE 18 TO USE THIS WAIVER. IF UNDER
18 YOU NEED A PARENT TO FILL OUT THE WAIVER
FOR YOU!

READ CAREFULLY

WAIVER AND RELEASE OF LIABILITY

In consideration of Adirondack LLC the Paint Room (herein after
referred to as (Paint Room) furnishing services and/or equipment
to enable me, or the minor(s) I am signing for, to participate in The Paint Room

I agree as follows:

• I fully understand and acknowledge that.

(a) risks and dangers exist in my use of
The Paint Room activities.

(b) my participation in such activities and/or use of
such equipment may result in my injury or illness including but not limited to
bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury,
blindness, heat stroke, heart attack, death or other ailments that could cause
serious disability.

(c) these risks and dangers may be caused by the negligence
of the owners, employees, officers or agents of Paint Room; the
negligence of the participants, the negligence of others, accidents, breaches of
contract, the forces of nature or other causes. These risks and dangers may
arise from foreseeable or unforeseeable causes; and

(d) by my participation in
these activities and/or use of equipment, I hereby assume all risks and dangers
and all responsibility for any losses and/or damages, whether caused in whole or
in part by the negligence or other conduct of the owners, agents, officers,
employees of Paint Room, or by any other person

• I, ON BEHALF OF MYSELF, MY PERSONAL REPRESENTATIVES AND MY
  HEIRS, HEREBY VOLUNTARILY AGREE TO RELEASE, WAIVE,
  DISCHARGE, HOLD HARMLESS, DEFEND AND INDEMNIFY Paint Room AND IT'S OWNERS, AGENTS, OFFICERS, AND EMPLOYEES FROM
  ANY AND ALL CLAIMS, ACTIONS, OR LOSSES FOR BODILY INJURY,
  PROPERTY DAMAGE, WRONGFUL DEATH, LOSS OF SERVICES OR
  OTHERWISE, WHICH MAY ARISE OUT OF MY USE OF THE SPLATTER
  ROOM ACTIVITIES. I SPECIFICALLY UNDERSTAND THAT I AM
  RELEASING, DISCHARGING AND WAIVING ANY CLAIMS OR ACTIONS
  THAT I MAY HAVE PRESENTLY OR IN THE FUTURE FOR NEGLIGENT
  ACTS OR OTHER CONDUCT BY THE OWNERS, AGENTS, OFFICERS OR
  EMPLOYEES OF Paint Room

MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby
gives permission for Paint Room to authorize emergency medical treatment as
may be deemed necessary for the child named below while participating in The
Splatter Room from this date on.

• I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT
  AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE paint Room and
  FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE
  OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER
  CAUSE.

• I further agree that I have read and will adhere to all Safety Rules for the Paint Room Facility.

• I understand that violation of any of the safety rules is grounds for
  immediate suspension of playing privileges without any refund.

• I understand that as a public facility, pictures and or video may be taken by staff
  Paint Room or others, and I grant them the right to publish, and republish
  video, photographic portraits or pictures of me in which I may be
  included, in whole or in part.

• I understand this is a Art Studio/Paint Facility, and no outside paint
  is allowed on the premises. I understand that outside paint will be confiscated,
  and if mixed with field paint, it all will be disposed of. I agree that violation of any
  of Paint Room rules is grounds for immediate expulsion with no
  refunds.

SAFETY RULES:

• Keep all protective gear on at all times.

• Do not throw paint directly in the face of another Participant.

• If you start to slip or slide, please exit the room immediately.

• No Pushing, Shoving, Hitting or Throwing Containers at other Participants!

By hitting accept, you are consenting to the use of your electronic signature in
lieu of an original signature on paper. You have the right to request that you sign
a paper copy instead which is available at our location. By hitting accept, you are
waiving that right. After consent, you may, upon written request to us, obtain a
paper copy of an electronic record. No fee will be charged for such copy and no
special hardware or software is required to view it. Your agreement to use an
electronic signature with us for any documents will continue until such time as
you notify us in writing that you no longer wish to use an electronic signature.
There is no penalty for withdrawing your consent. You should always make sure
that we have a current email address in order to contact you regarding any
changes, if necessary.

Adirondack Axe LLC should not be held responsible for any injury or personal loss that may occur during the signing of this waiver.

Please select who will be participating:

Please enter your legal name as it appears on your government issued ID.