I ACKNOWLEDGE THAT THIS ACTIVITY CARRIES WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY, AND PROPERTY LOSS. I CERTIFY THAT THERE ARE NO HEALTH-RELATED REASONS OR PROBLEMS THAT PRECLUDE MY PARTICIPATION IN THIS ACTIVITY. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY ACTIVITIES ASSOCIATED WITH THIS EVENT.

Consideration: In consideration of being permitted in any way in the Sport of Hatchet/Axe Throwing, hereinafter called Activity, I, for myself, my heirs, personal representative or assigns, do hereby waive liability, release and forever discharge Social Axe, LLC., it's parent company, The Big Axe Throwing Co. Inc, its officers, agents, trustees, or employees from any and all demands, rights, and causes of action of whatever kind or nature, arising out of all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, including death, resulting from my voluntary participation in or in any way connected with the Activity.

Assumption of Risk: Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries.  The risks range from; (1) minor injuries such as scratches, bruises, and cuts; (2) major injuries such as eye injury or loss of sight, joint or bodily injuries; and (3) catastrophic injuries including paralysis and death.

I have read the previous paragraphs and I acknowledge, know, understand and appreciate these and other risks that are inherent in the Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I further agree to indemnify, defend, and hold harmless Social Axe, LLC., it's parent company, The Big Axe Throwing Co. Inc, its officers, agents, trustees, or employees from any and all liabilities, damages, claims, lawsuits, attorneys' fees, and actions of any kind for any damage or injury arising out of my participation in the Activity, including any damage, loss, or injury caused by any act or omission on the part of Social Axe, LLC.

Serverability: I also agree that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as permitted by the law of the State of Utah and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, and fully understand its terms. I certify that I am 18 years of age and suffering under no known legal disabilities; I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Photo/Media Release: I hereby freely and irrevocably grant to Social Axe, LLC., it's parent company, The Big Axe Throwing Co. Inc, and it's authorized employees and agents, the absolute right and permission to copy, exhibit, copyright, use, take, distribute, and/or publish my photographic likeness, name, voice, and/or image made in relation to my participation in the Activity in photographs, video, and in any other media, in which I may be included in whole or in part or in composite form in conjunction with my name and other identifying information, or reproductions thereof in color or otherwise, made through any media for art, print, web, social media, advertising, film, telecast, or any other lawful purpose whatsoever.

I also grant Social Axe, LLC., & it's parent company, The Big Axe Throwing Co. Inc, the same right and permission to use written or verbal statements or testimonials made by me. It is understood that no compensation has been paid and that no fee or compensation shall be due to me for my giving permission for use of my photographic image, likeness, name, or voice.

I hereby hold harmless and release and forever discharge Social Axe, LLC., it's parent company, The Big Axe Throwing Co. Inc, it's officers, and employees from all claims, demands and causes of action which I, my heirs, representatives, executors, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

• To exercise common sense and play responsibly.

• To permit only one person per lane allowed in the throwing zone.

• Hatchets cannot be handed off from person to person.

• Hatchets are not to be taken from the throwing zone and are always to be handled in a safe manner.

• If you are visibly intoxicated, the management, and/or employees, reserve the right to terminate your Hatchet/Axe Throwing at their discretion.

• You agree that violating any of the above rules or by putting yourself or anyone else in harm's way will result in termination of your hatchet throwing, with no refund.

I HEREBY HOLD HARMLESS AND RELEASE AND FOREVER DISCHARGE SOCIAL AXE, LLC., ITS PARENT COMPANY, THE BIG AXE THROWING CO. INC, ITS OFFICERS, AND EMPLOYEES FROM ALL CLAIMS, DEMANDS, AND CAUSES OF ACTION WHICH I, MY HEIRS, REPRESENTATIVES, EXECUTORS, OR ANY OTHER PERSONS ACTING ON MY BEHALF OR BEHALF OF MY ESTATE HAVE OR MAY HAVE BECAUSE OF THIS AUTHORIZATION.

Enter the birth date and full name of the minor for whom you are signing.