ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, produced by RP63 International, LLC. dba Stash House, located at 4267 W 3rd Street, Los Angeles California 90020, including by way of example and not limitation, any risks that may arise from negligence, carelessness or accidental on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I understand this activity has potential risks including but not limited to:
1) Potentially tripping, falling, hitting head on objects, cuts, bruises, twisting/breaking ankles, moving/lifting objects.
2) Mental stress and anxiety; flashing/strobing lights; potential covid-19 exposure.
3) Being in an enclosed space with other person(s)
I have no physical or mental illness that precludes my participation in a safe manner for myself or others. I am not under the influence of drugs or alcohol which impairs my ability to maintain my safety awareness or endangers others.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the organizers of Stash House, the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. I agree that all staff or authorized agents may, in their sole discretion, determine it is unsafe for myself or others for my participation to continue, remove me from the premises by any lawful means.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as Follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault or consuming alcohol or drugs on premises of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me on premises or off premises, THE FOLLOWING ENTITIES OR PERSONS: The directors, managers, owners, officers, employees, 1099 contractors, volunteers, representatives, and agents of any and all entities authorizing this activity as well as the owners of the building in which the activity is taking place and all managers and tenants involved with the property;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that the directors, managers, owners, officers, employees, 1099 contractors, volunteers, representatives, and agents of any authorizing entity as well as the owners of the building in which the activity is taking place and all managers and tenants involved with the property are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
I understand that by participating in this activity, I may be photographed, filmed, videotaped, or otherwise recorded by security cameras, monitoring systems, or other recording devices used by RP63 International, LLC dba Stash House for safety, security, operational, and internal recordkeeping purposes. I acknowledge and agree that such recordings may be made during my participation. However, RP63 International, LLC dba Stash House will not use my name, image, likeness, voice, photograph, video, film, or other recording for advertising, marketing, promotional, social media, or other public-facing commercial purposes without my prior permission.
This Accident Waiver and Release of Liability shall be governed and interpreted in accordance with the laws of the State of California. Any action, proceeding or litigation concerning my participation in this activity may only be brought in Los Angeles County, California, and I hereby agree that the courts of Los Angeles County, California, shall have exclusive jurisdiction over me and the subject matter of any such proceeding. I further agree that any and all disputes or controversies arising under or relating to this Accident Waiver and Release of Liability or any of its terms, any effort of any party to enforce, interpret, construe, rescind, terminate or annul this Accident Waiver and Release of Liability, or any provision thereof, and any and all disputes or controversies arising under or related to my participating in this event shall be resolved by binding arbitration in accordance with the then current Commercial Arbitration Rules of the American Arbitration Association, through its Los Angeles, California office. I agree that the arbitrator's ruling, or arbitrators' ruling, as applicable, in the arbitration shall be final and binding and not subject to appeal or challenge.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.