Dolly's
Fun Toys
731A Glades Court
Port Orange, Fl 32128
1-386-763-1979
In
consideration of the services of MBN ENTERPRISES INC, their agents,
officers, volunteers, participants, employees and all other
persons or entities acting in any capacity on their behalf, I hereby
agree to release and discharge MBN ENTERPRISES INC on behalf of myself,
my children, my parents, my heirs, assigns, personal representative and
estate as follows:
1 - I
acknowledge that the event entails known and unanticipated risk which
could result in physical or emotional injury, paralysis, death, or
damage to myself, to property, or to third parties. I understand that
such risks cannot be eliminated without jeopardizing the essential
qualities of the activity.
2 -
The risks include, among other things: Inherent and extraordinary risks
involved in said event, in the use of suits, vests, helmets, gloves
and/or special devices, and any risks inherent in any other activities
connected with this event which I am voluntarily participating.
3 -
Futhermore, MBN ENTERPRISES INC, employees have difficult jobs to
perform. They seek safety, but they are not infallible. They might be
ignorant of a participant's fitness or abilities. They may give
inadequate warnings or instructions, and the equipment being used might
malfunction.
4 - I
expressly agree and promise to accept and assure all of the risks
existing in this activity. My participating in this activity is purely
voluntary, and I elect to participate in spite of the risks.
5 - I
certify that I have adequate insurance to cover any injury or damage I
may cause or suffer while participating or else I agree to bear the
costs of such injury or damage myself. I furthermore certify that I am
willing to assume the risks of any medical or physical condition I may
have.
6 -
Should MBN ENTERPRISES, INC, or any other acting on their behalf be
required to incur attorney's fees and costs to enforce this agreement, I
agree to indemnify and hold them harmless for all such fees and costs.
7 - I
certify that I have adequate insurance to cover any injury or damage I
may cause or suffer while participating or else I agree to bear the
costs of such injury or damage myself. I further certify that I have no
medical or physical conditions which could interfere with my safety in
this activity, or else I am willing to assume and bear the costs of all
risks that may be created, directly or indirectly, by any such
condition.
8 - By
signing this Document, I acknowledge that if anyone is hurt or property
damaged during my participation in this activity, I may be found by a
court of law to have waived my right to maintain a lawsuit against MBN
ENTERPRISES, INC on the basis of any claim from which I have relapsed
them herein.
9 - I
have had sufficient opportunity to read this entire document. I have
read and understood it, and I agree to be bound by its terms. I
understand that this event is a physical sport and that physical injury
may result.
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