Waiver and Release of Liability

Waiver and Release of Liability
THIS IS A RELEASE OF LIABILITY.

YOU MUST READ AND FULLY UNDERSTAND THIS BEFORE SIGNING.

IF YOU ARE UNDER 18, YOUR PARENT OR LEGAL GUARDIAN MUST SIGN THIS WAIVER.
I,
Name*

First NameLast Name
in consideration of and as a condition to being granted permission to enter, provide or perform services and/or participate in activities occurring on or about the premises located at 40 Sears Lane, Burlington, Vermont 05401 (the “Premises”), for myself and on behalf of my heirs, successors and assigns, hereby acknowledge and agree that:
1. I accept and assume full and complete responsibility for and irrevocably waive any and all claims in connection with any risk, accident, death, injury or damage to myself or my property (including, without limitation, loss or theft of such property) occurring on or about the Premises or arising directly or indirectly from my presence, use, provision or performance of services or participation in activities on or about the Premises, including the use of any equipment, hardware or tools (the “Equipment”) on the Premises, even if provided by the Releasees (as defined below) or by a third party. I further understand and agree that the Releasees assume and have no liability for loss, damage, or any kind of injury sustained by myself or my property while on or about the Premises. I therefore assume all risks associated with my presence, occupancy, use, provision or performance of services or participation in activities on or about the Premises, even if they arise from the negligence of the Releasees or any third third party, and further acknowledge and accept that my use of the Equipment may involve inherent risks and I voluntarily and knowingly assume such risks;
2. I will comply with all applicable laws, rules and regulations and the stated and customary terms and conditions for my presence on the Premises and the performance or provisions of any services thereon. If I observe any hazardous condition during my presence or participation, I will immediately bring such information to the attention of an employee or officer of Generator, Inc. immediately; and

3. I HEREBY RELEASE AND AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS Generator, Inc. (“Generator”) and its respective officers, officials, members, affiliates, agents and/or employees, other participants, and owners and lessors of the Premises (collectively, the “Releasees”), from and against any and all liabilities, claims, demands, damages, rights of action, suits or causes of action, resulting from or arising out of or in connection with my actual or intended presence, occupancy, use, provision or performance of services or participation in activities on or about the Premises and the use of any Equipment on the Premises, whether arising from the negligence of the Releasees or otherwise, expressly including all damage that I cause to equipment owned or leased by Generator.
I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Participant is over 18:*

YesNo
Your Name*

First NameLast Name
SIGNATURE*

Clear
Date Signed*

MonthDayYear
Date
FOR PARTICIPANTS UNDER AGE 18:
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/ her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s presence, occupancy, use, provision or performance of services or participation in activities on or about the Premises as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES.
Date

MonthDayYear
Date
Emergency Phone Number

Area CodePhone Number
Minor's Full Name

First NameLast Name
Parent/Guardian's Full Name

First NameLast Name
Parent/Guardian's Signature

Clear

Photo Release Form
I,
Name*

First NameLast Name
, on behalf of myself, and my successors and assigns, grant to Generator, Inc. (“Generator”), its agents, directors, successors, assignees, or others working on their behalf or in their interest, the irrevocable and in perpetuity the right to reproduce, copy, publish, broadcast, or otherwise use my name, likeness, image, voice, and/or appearance, or any material based upon or derived from them, taken or made on behalf of Generator, as such may be embodied in any media whatsoever throughout the world, including, without limitation, on Generatorvt.com and Generator social media sites or for any and all advertising, promotion and other purposes of trade.

I understand that I shall have no right of approval, no claim to additional compensation or benefits, and no claim (including, without limitation, claims based upon invasion of privacy, defamation, or right or publicity) arising out of any use or any editing, blurring, distortion, alteration, optical illusion, or use in partial or composite form, whether or not intentional. I acknowledge that I may hereafter discover claims in addition to the ones released in this document and I hereby release Generator from any such unknown and/or unsuspected claims.
I HAVE READ THIS RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Opt In / Out

I am willing to allow Generator to use my likenessI am not willing to allow Generator to use my likeness
Participant is over 18:*

YesNo
Date*

MonthDayYear
Date
Signature

Clear
FOR PARTICIPANTS UNDER AGE 18:
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/ her release as provided above and agree to be bound by the terms of this Release.
Date

MonthDayYear
Date
Minor's Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Emergency Contact Name

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number

Area CodePhone Number
Parent/Guardian's Signature

Clear
Email
example@example.com
Should be Empty:

Waiver and Release of Liability

FOR PARTICIPANTS UNDER AGE 18:

Photo Release Form

FOR PARTICIPANTS UNDER AGE 18: