Acknowledgement of Risks, Assumption of Risk
& Responsibility of Liability of Organizations and Individuals

WARNING:  There are significant elements of risk in any adventure, sports or activity associated with the indoor or outdoor use of games and activities (referred to as “activity”) in our club.  Although we have taken reasonable steps to provide you with the appropriate equipment and/or skilled staffs, this activity is not without risk.  Certain risks cannot be eliminated without destroying the unique character of the activity.  For your and other participants’ safety, it is important for you to know in advance what is to be expected and to be informed of the inherent risks. 

By accepting this agreement, I understand and agree to comply with the following rules:

·               No flips, no pushing, and/or no fighting in the games;

·               Any safety rules adopted by 123 Ping Pong LLC from time to time; and

·               If I break any of the rules, the attendant has the right to remove me from the game and cease my participation in the game

ACKNOWLEDGEMENT OF RISKS:  I/we acknowledge that the following describes some BUT NOT ALL of those risks: risks of personal injury, accidents and/or illness including sprains, torn muscles and/or ligaments, fractured or broken bones, eye damage, cuts, wounds, scrapes, abrasions and/or contusions, dehydration, oxygen shortage (anoxia), and/or exposure, head, neck, and/or spine injuries, allergic reaction, shock, paralysis or death.  I/we understand the description of these risks is not complete and there are the unknown or unanticipated risks in these activities. I/we elect to participate in spite of the risks.

EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY:  I/we agree to assume responsibility for the risks identified herein and those risks not specifically identified.  My/our participation in these activities is purely voluntary.  No one is forcing me/us to participate.  I/we verify that I/we are physically fit, not under the influence of alcohol or drugs at this time, and sufficiently qualified and trained capable to participate in these activities.  I/we elect to participate in spite of the risks.

AUTHORIZATION:  I/we hereby authorize any medical treatment deemed necessary in the event of any injury while participating in the activity.  I/we agree to any film or photographs of me/us as a participant becomes your property and may be used for promotional purposes.

RELEASE:  In consideration of services or property provided, I for myself/my employees, and/or minor children for which I am parent, legal guardian, group leader, or otherwise responsible, any heirs, personal representatives or assigns, agree that 123 Ping Pong LLC, its principles, directors, officers, agents, employees and volunteers, their insures and each and every land owner, property owner municipal and/or governmental agency upon those property and activity is conducted and their insures, if any, shall have no liability for its sole negligence.