Revolution Liability Waiver

ASSUMPTION OF RISK AND RELEASE AND WAIVER OF LIABILITY
IN CONSIDERATION of allowing me to participate in hatchet throwing (the “Activity”) as

organized by
Revolution Axe Throwing, LLC I WARRANT TO REVOLUTION AXE THROWING LLC
THAT:
1. I am familiar with the risk of serious injury and death which any participant in the
Activity must assume and I accept such risk voluntarily.
2. I believe that I am physically, emotionally and mentally able to participate in the

Activity. I am not under the in uence of drugs or alcohol.
3. I understand that all applicable rules for participation for the Activity must be
followed and that at all times the sole responsibility for my personal safety remains with
me.
4. I will immediately remove myself from participation in the Activity, and notify the
nearest of cial, if at any time I sense or observe any unusual hazard or unsafe condition
or if I feel that I have experienced any deterioration in my physical, emotional or mental
tness for continued participation in the Activity.
I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal

representatives and next of kin that my participation in the Activity and the execution
of this document constitutes:
1. an unquali ed ASSUMPTION OF ALL RISKS associated with my participation in the
Activity even if arising from the negligence, or gross negligence, including any
compounding or aggravation of injuries caused by negligent rescue operations or
procedures, of Revolution Axe Throwing LLC personnel or any persons associated
therewith or participating therein, and
2. a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of Revolution Axe Throwing
LLC and all persons and organizations associated with it and the Activity including,
without limiting the generality of the foregoing, its of cers, directors, of cials, agents
and/or employees, other participants, sponsors, advertisers, owners and/or lessors of
the premises used to conduct the Activity, sanctioning bodies, and medical or rescue
personnel (hereinafter the “RELEASEES”), of and from with respect to any injury,
disability, death or loss or damage to person or property whether arising from the
negligence, or negligent rescue of or by the foregoing or otherwise,
and
3. an UNDERSTANDING NOT TO SUE the RELEASEES for any loss, injury, costs or
damages of any form or type, howsoever caused or arising, and whether directly or
indirectly from the participation in the Activity by me, and
4. an AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASEES,
and each of them, from any litigation expense, legal fees, liability, damage, award or
cost, of any form or type whatsoever, they may incur due to any claim made against
them or any one of them whether the claim is based on the negligence or the gross
negligence of the RELEASEES or otherwise.
5. I con rm that Revolution Axe Throwing, LLC will not be held responsible in the event
of any complaint or legal action undertaken against me as a result of my actions and/or
conduct actual or implied.
6. In the event that Revolution Axe Throwing, LLC takes photographs or videos, I hereby
assign full copyright of these photographs and videos to Revolution Axe Throwing, LLC
(and the related representatives and assigns) together with the right of reproduction
either wholly or I part. Furthermore, I grant Revolution Axe Throwing, LLC the
perpetual and irrevocable and unrestricted right to use and publish video and/or
photographs of me, or where I may be included for editorial trade, product or service
advertising and such other fashion/business purpose in any manner and medium,
including advertising with any retouching or alteration without restriction or
compensation.
I HAVE READ THIS DOCUMENT THOROUGHLY. I UNDERSTAND THAT THE
RELEASEES ARE RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER
AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY
PARTICIPATION IN THE ACTIVITY. I UNDERSTAND THAT BY SIGNING THIS
DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS I WOULD OTHERWISE HAVE. I
SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.
THIS IS AN ELECTRONIC WAIVER, PRINTED COPIES OF THIS DOCUMENT WILL NOT

BE ACCEPTED.
PLEASE FILL IN YOUR INFORMATION BELOW:
Full Name Patrick Farnum
Email: pat.farnum@gmail.com
Date of Birth: 19790715
Zip Code 01876
YOUR SIGNATURE:
X
Signature - 05/29/24

Revolution Liability Waiver

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Revolution Liability Waiver

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ASSUMPTION OF RISK AND RELEASE AND WAIVER OF LIABILITY

IN CONSIDERATION of allowing me to participate in hatchet throwing (the “Activity”) as

2. I believe that I am physically, emotionally and mentally able to participate in the

I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal

THIS IS AN ELECTRONIC WAIVER, PRINTED COPIES OF THIS DOCUMENT WILL NOT

Full Name Patrick Farnum

Date of Birth: 19790715

Zip Code 01876

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