The BEST recreation center for families in the Golden Isles!
SALT SHAKER ENTERTAINMENT, INC., DBA BRUNSWICK ADVENTURES - PLEASE COMPLETE WAIVER BEFORE PAYING
In consideration for participation in activities at Salt Shaker Entertainment, Inc., dba Brunswick Adventures, (hereinafter called “Brunswick Adventures”), I hereby agree on my behalf and on behalf of the minor(s) listed below to the following:
1.I understand that participation in Brunswick Adventures trampoline game and activities are risky and that risks of injury include without limitation, scrapes, rope burns, sprains, bruises, cuts, broken bones, diseases, sickness and even more serious injuries, such as paralysis or death, and I fully accept and agree to assume all of these risks (including risks arising from the negligence of other participants), for myself and all children listed below. I understand that it is my responsibility to supervise the children listed below when they are participating in activities at Brunswick Adventures, not the responsibility of Brunswick Adventures. I understand that no double bouncing is allowed, and care must be taken when flipping or bouncing off the walls. Injuries can occur with collisions and being landed upon. I understand if I or my children are injured, that I must obtain my own medical treatment at my own expense. I will obey and will make sure that all children listed below obey the rules posted at Brunswick Adventures. I understand that violation of rules could result in expulsion from Brunswick Adventures with no monetary reimbursement.
2.With the full understanding of the risks stated above I, for myself and all the children listed below, hereby release, hold harmless and forever discharge and covenant not to sue Brunswick Adventures, its owners, officers, directors, agents, employees, landlord and all other persons acting on its behalf, for any injury, disease or sickness acquired at or related to Brunswick Adventures and agree to reimburse any reasonable attorney’s fees and costs that may be incurred by Brunswick Adventures.
3.I agree and understand that this agreement is binding on myself, my child and all children listed below, and the heirs, successors and assigns of myself, my child, and all children listed below. By signing below, I certify that I am the legal parent or guardian of the child(ren) for whom I am signing or, if I am not the parent or legal guardian, that I have the express permission of the child(ren)’s legal parent or guardian. I understand that this is a permanent waiver to be kept on file at Brunswick Adventures for today’s visit and all future visits.
4. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Brunswick Adventures from any and all claims, demands, or causes of actions, which I may sustain while on the premises or which are in any way connected with my participation in Brunswick Adventures’ activities or my use of its equipment or facilities including any such claims based upon damages caused or alleged to be caused in whole or in part by the negligent acts or omissions of Brunswick Adventures.
5. I hereby understand that Salt Shaker Entertainment has engaged in enhanced health and safety measures, but an inherent risk of exposure to COVID-19 or other infectious diseases exists where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Center for Disease Control and Prevention, senior citizens and guest with underlying medical conditions are especially vulnerable. I hereby assume all risk related to exposure to COVID-19 while at Brunswick Adventures.
ARBITRATION OF DISPUTES; TIME LIMIT TO BRING CLAIM
____ (Initial Here) I understand that by agreeing to arbitrate any dispute as set forth in this section, I am waiving my right, and the right(s) of the minor child(ren) above, to maintain a lawsuit against Salt Shaker Entertainment, Inc., dba Brunswick Adventures and the other Releasees for any and all claims covered by this Agreement. By agreeing to arbitrate, I understand that I WILL NOT have the right to have my claim determined by a jury, and the minor child(ren) listed below WILL NOT have the right to have claim(s) determined by a jury. Reciprocally, Salt Shaker Entertainment, Inc., dba Brunswick Adventures and the other Releasees waive their right to maintain a lawsuit against me and the minor child(ren) above for any and all claims covered by this Agreement, and they WILL NOT have the right to have their claim(s) determined by a jury. ANY DISPUTE, CLAIM OR CONTROVERSY ARISING OUT OF OR RELATING TO MY OR THE CHILD’S ACCESS TO AND/OR USE OF THE SALT SHAKER ENTERTAINMENT, INC., DBA BRUNSWICK ADVENTURES PREMISES AND/OR ITS EQUIPMENT, INCLUDING THE DETERMINATION OF THE SCOPE OR APPLICABILTY OF THIS AGREEMENT TO ARBITRATE SHALL BE BROUGHT WITHIN ONE YEAR OF ITS ACCRUAL (i.e., the date of the alleged injury) AND BE DETERMINED BY ARBITRATION IN GLYNN COUNTY, BEFORE ONE ARBITRATOR. THE ARBITRATION SHALL BE ADMINISTERED BY JAMS PURSUANT TO ITS RULE 16.1 EXPEDITED ARBITRATION RULES AND PROCEDURES. JUDGMENT ON THE AWARD MAY BE ENTERED IN ANY COURT HAVING JURISDICTION. THIS CLAUSE SHALL NOT PRECLUDE PARTIES FROM SEEKING PROVISIONAL REMEDIES IN AID OF ARBITRATION FROM A COURT OF APPROPRIATE JURISDICTION. This agreement shall be governed by, construed and interpreted in accordance with laws of the State of Georgia, without regard to choice of law principles. Notwithstanding the provision with respect to the applicable substantive law, any arbitration conducted pursuant to the terms of this Agreement shall be goverrned by the Federal Arbitration Act (9 U.S.C. Sec. 1-16).
I grant Brunswick Adventures the right to photograph, videotape, and/or record me and the minor children and to use my or my child’s/wards’ name, face, likeness, voice and appearance in connection with publicity, advertising, and promotional materials without limitation.
Signature of Parent/Guardian/Participant (18 years or older):
Print Name:____________________________________________________________ Address:______________________________________________________________
City:_____________________ Zip:______________ Phone:_______________________________________________________________ Email:________________________________________________________________
Names/Birth Dates of Minor Children/Wards
1.________________________________________________ __________/________/_________ 2.________________________________________________ __________/________/_________ 3.________________________________________________ __________/________/_________ 4.________________________________________________ __________/________/_________