The following assumptions of risk, consents, waivers and releases of liability, form part of a LEGALLY BINDING DOCUMENT. Please READ CAREFULLY before signing. DO NOT SIGN IF UNSURE of the content and consequences.
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ACKNOWLEDGMENT OF RISK, PARTICIPANT WAIVER, RELEASE OF LIABILITY, COVENANT NOT TO SUE & IMAGE RELEASE In consideration of the acceptance of this entry in or upon the CHAOS STUDIOS facility, and/or my/our participation in any way in CHAOS STUDIOS training, competition(s), smashing activities, related events, and/or activities (together known as the Events), I/we, the undersigned, acknowledge, covenant and agree that:
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WARNING AND ASSUMPTION OF RISK/VOLUNTARY COMPLIANCE 1. I/WE UNDERSTAND THAT THE ABOVE-MENTIONED EVENTS ARE INHERENTLY RISKY, physically demanding, and that participation in the same EVENTS MAY RESULT IN SERIOUS INJURY and/or FATALITY. a. SERIOUS INJURY and/or FATALITY from the above-mentioned Events includes, but is not limited to: (i) sprains; (ii) strains; (iii) fractures; (iv) heat and cold injuries; (v)over-use syndrome; (vi) physical and emotional distress, (vii) injuries involving glass, debris, and construction tools; (viii) accidents involving, but not limited to swinging, breaking, smashing, and falling;(ix) heart attack, (x) brain damage, and(xi) the potential for permanent paralysis and/or death. b. While particular rules, equipment, and personal discipline may reduce this risk, the risk of Serious Injury or Death continues to exist;
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2. EPILEPSY WARNING: Some individuals with photosensitive epilepsy may experience seizures When exposed to certain patterns or flashing lights. Exposure to certain light patterns may induce and epileptic seizure in these individuals, and certain conditions may induce undetected epileptic symptoms even in persons who have no prior history of seizures or epilepsy. If you, or anyone in your family, has an epiletpic condition please consult your medical practitioner before participating.
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​3. I/WE AM/ARE SATISFIED THAT I/WE HAVE FULLY INFORMED MYSELF/OURSELVES ABOUT THE EVENTS THAT I/WE WILL OR MAY BE PARTICIPATING IN AT AND I/WE KNOWINGLY AND FREELY ASSUME AND ACCEPT ALL RESPONSIBILITY AND RISKS, BOTH KNOWN AND UNKNOWN, for my/our participation in the Event
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3. I/WE VOLUNTARILY AGREE TO COMPLY with the stated and customary terms and conditions for participation.
If, however, I/we observe any unusual and/or significant hazard during my/our presence or participation, I/we will remove myself/ourselves from participation and bring such hazard to the attention of the nearest employee, official, or agent, of CHAOS STUDIOS; 4. I/WE ACKNOWLEDGE THAT CHAOS STUDIOS MAY, at its discretion, REVOKE THE PARTICIPANTS PRIVILEGES to attend at the premises of CHAOS STUDIOS, to use CHAOS STUDIOS and equipment and to participate in the programs and activities offered by CHAOS STUDIOS. 5. I/WE VOLUNTARILY AGREE TO REPORT any accidents, injuries, loss or damage you suffer during the EVENTS no matter how minor the injury may appear at the time it occurs to an authorised representative on the day such an occurs or is known. You agree to assist us in preparation of an incident report in respect of such an incident and will provide all documents requested of you required to complete this report. You consent to receiving any medical treatment that the EVENTS organisers or their authorised representatives consider necessary or desirable during or after the EVENTS.
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WAIVER & RELEASE OF LIABILITY
6. I/we, for myself/ourselves and on behalf of my/our heirs, executors, administrators assigns, personal representatives and/or next of kin, voluntarily and forever WAIVE, RELEASE, DISCHARGE and COVENANT NOT TO SUE CHAOS STUDIOS and their officers, directors, representatives, officials, principals, agents and/or employees, subsidiaries, and/or assigns, as well as their independent contractors, sponsoring agencies, sponsors, advertisers, volunteers, and if applicable, owners and lessors of the premises used to conduct the Event (collectively, the "Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, and/or loss or damage to person or property, that may be incurred by me/us in connection with participation in the aforementioned Events. a. Without limiting the generality of the foregoing, THIS RELEASE SHALL APPLY TO ANY LIABILITY, CLAIM, ACTION, SUIT OR DAMAGE CAUSED BY THE NEGLIGENCE OF CHAOS STUDIOS, the condition of the equipment or the premises or the actions of third parties. b. I/we further agree to indemnify, defend and hold harmless Releasees from any loss,liability, cost, claim
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7. I/WE ATTEST AND VERIFY THAT, unless otherwise indicated below, I/we a. am over 18 years of age, b. am free from all illnesses, injuries and defects that could interfere with my/our safe participation in any of the above Events, c. that I/we am physically fit and sufficiently trained to participate in all activities associated with the Events
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8. DRUGS AND ALCOHOL: I/WE ATTEST AND VERIFY THAT I/we AM SOBER AND FREE of any/all drugs and/or alcohol both prescribed and illicit when entering CHAOS STUDIOS. I understand that drugs and/or alcohol may impair my ability to participate in the above EVENTS and will remain so during the full duration of my stay and until departing the CHAOS STUDIOS property. I/we consent to the removal, barred entry and/or immediate suspension of all participation at the sole discretion of any representative of CHAOS STUDIOS without compensation, refund or reward upon discovery or suspicion of the consumption of these substances.
e. That the information given on this form is correct and complete.
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8. MY/OUR PARTICIPATION IN THE EVENTS organized or sponsored by CHAOS STUDIOS IS ENTIRELY VOLUNTARY. CONSENT TO FIRST AID and/or MEDICAL TREATMENT
9. I/WE CONSENT TO administration of first aid and other medical treatment in the event of injury or illness and hereby release and indemnify Releasees from any and all liability or claims arising out of such treatment.
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WARNING AND ASSUMPTION OF RISK, IMAGE AND LIKENESS
10. I/we understand that there are inherent risks associated with publication of my/our photograph, audio and image of personal likeness on the Internet, in videos and in publications. No for profit use will be used without consent and any notification of withdrawn consent through written notification will be honored as best able within a reasonable timeframe. These risks may include but not be limited to identity theft and wrongful assumption by others of my/our identity or who I/we is/are and or danger to myself/us. I/we agree to assume these risks, whether known or unknown to me/us of permitting publication of my/our photograph, image of personal likeness and or personal audio on the Internet, in publications or in videos.
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GRANT OF PERMISSION, IMAGE AND LIKENESS
11. I/we irrevocably grant unlimited permission to Releasees, to use, reproduce and distribute any and all electronic media, photographs, images, videotapes, motion pictures, recordings, or any other depiction of any kind of me/us or of my/our participation in the Event or related activity for any legitimate purpose related directly to the Event in perpetuity and I/we understand that I/we shall not be entitled to any compensation therefore. No for profit use will be used without consent and any notification of withdrawn consent through written notification will be honored as best able within a reasonable timeframe
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RELEASE, IMAGE AND LIKENESS
12. I/we hereby irrevocably and absolutely grant permission to the Releasees to film, videotape and record gratis the performance of the above named participant (referred to herein as I, I/we, me, me/us, my, my/our) in the aforementioned Events and subsequently to telecast and otherwise utilize the same in whatever manner Releasees shall deem appropriate. Such permission shall include granting the unlimited and irrevocable right to Releasees, without compensation of any kind to me/us, to use, reproduce or broadcast, my/our name, nickname, image, likeness, voice, photograph, signature facsimile, and biographical information in connection with the Event without compensation of any kind to me. I/we acknowledge that Releasees and their representatives shall have the unlimited right throughout the world to copyright, use, reuse, publish, republish, broadcast and otherwise distribute depictions of or information about me and all or any portion of the Event in which I/we may appear on any and all radio, network, cable and local television programs and in any print materials and in any other format or media (including electronic media) now known or herein after devised in perpetuity and without compensation to me. In consideration and in return for being allowed to participate in the Events, I/we release and agree not to sue the Releasees from all present and future claims regarding my/our participation in the Events that may be made by me/us, my/our family, estate heirs, or assigns
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GENERAL
GENERAL 13. I/we agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect
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I/WE HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
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I/WE CONFIRM THAT I/WE HAVE HAD AN OPPORTUNITY TO OBTAIN LEGAL ADVICE BEFORE SIGNING THIS ACKNOWLEDGEMENT AND WAIVER AND HAVE CHOSEN NOT TO DO SO