Parental Waiver Form

FOX DEN THIRD SPACE, LLC.Athens-Clarke County, GeorgiaParticipation Terms and Conditions;Accident and Release of Liability AgreementBy signing below I, _______________________ (“Visitor”), hereby acknowledge andagree that I have been invited to participate in events hosted by Fox Den Third Space,LLC., a Georgia limited liability (hereinafter “Released Parties”) located at 160 TracyStreet, Unit 9B/11 in Athens, Georgia (the “Facility”) which may involve bouldering,yoga or other activities requiring heightened attention to safety. In consideration of thepermission to participate in the activity, I agree as follows1. Assumption of the Risks: I hereby freely assume all the risks associated withparticipating in this activity and any harm, injury, or loss that may occur to me ormy property as a result of my participation in this activity. This assumptionincludes, by way of example and not limitation, any risks that may arise fromnegligence or carelessness on the part of the entities or persons released; fromdangerous or defective equipment or property owned, maintained, or controlledby them; or because of their possible liability without fault.2. Release of Liability: I hereby waive, release, and discharge the ReleasedParty, including its directors, officers, employees, volunteers, representatives,agents, activity holders, sponsors, and volunteers from all liability, causes ofaction, claims, and demands that arise in any way from any injury, death, loss, orharm that occurs to me, any other person, or any property during the activity.This waiver includes, but is not limited to, liability arising from negligence or faultof the entities or persons released. This waiver also applies to my traveling toand from the activity.3. Indemnification, Hold Harmless, and Defense: I promise to indemnify, holdharmless, and defend the entities or persons mentioned above from any and allliabilities or claims made as a result of my participation in the event, howevercaused. I acknowledge that the Released Party, including its respective directors,officers, volunteers, representatives, and agents are not responsible for errors,omissions, acts, or failures to act of any party or entity conducting a specificactivity on their behalf.4. Applicable Law: This Accident Waiver and Release of Liability Form isgoverned by Georgia law and must be construed broadly to provide a releaseand waiver to the maximum extent permissible.6. No Leashold Rights. I acknowledge and agree that no permissions or rightsof use in the Facility except for during the event described above are grantedhereby and that any further use and enjoyment shall require the consent of theReleased Parties.I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITSCONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND ACONTRACT, AND I SIGN IT OF MY OWN FREE WILL.This the ________ day of ______________, 2025.