WOODVILLE SKATEPARK 2
3725 WILLISTON RD.
WOODVILLE, OH 43619
IF YOU ARE UNDER 18, YOUR PARENT OR LEGAL GUARDIAN MUST SIGN THIS WAIVER
PARTICIPANT RELEASE OF LIABILITY-READ BEFORE SIGNING
In consideration of being allowed to participate in any way in this WOODVILLE SKATEPARK 2, L.L.C. program, related
events, activities, and all other sanctioned parks and events the undersigned acknowledges, appreciates and agrees that:
1. The risk of injury from the activities involved in these programs is significant, including the potential for permanent
disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious
injury to me does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual
significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation
and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE
THEWOODVILLE SKATEPARK 2, WOODVILLE MALL, its officers, officials, agents, and/or employees, other participants,
sanctioned evens, sanctioned parks, sanctioned organizations, sponsoring agencies, sponsors, advertisers, and if
applicable, owners and lessors of the premises used to conduct the event (*Releasees*), WITH RESPECT TO ANY AND
ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in
these programs WHETHER ARISING FROM THE NEGLIGENE OF THE RELEASEES OR OTHERWISE, to the fullest
extent permitted by law.
5. I, for myself and on behalf of my/ours heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY
AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in
these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent of the law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULL UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHT BY SIGNING IT, AND SIGN IT FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT. I attest that I am physically fit and have been trained for this activity. I
also waive and release the use of my photograph or likeness for any reason or purpose.
I WANT TO PARTICIPATE IN THIS HAZARDOUS SPORT!
X________________________________________ ___________________________ ______________
PARTICIPANT SIGNATURE DATE SIGNED DATE OF BIRTH
Name__________________________________ Form of ID:______________________________________
Address:_____________________________________ Apt#__________ Email_______________________
City:______________________ State:________ Zip:_____________ Phone:________________________
IF PARTICIPANT IS UNDER 18 YEARS FO AGE emergency phone#______________________________
X_____________________________________________________________________________________
parent or legal guardian date signed drivers license # or identification
MEDICAL RELEASE: In the event that I cannot be reached in an emergency I hereby give permission to any
licensed physician, surgeon, clinic, or hospital to secure proper treatment, and to order anesthesia, for my
child/myself as named above. My child/I am allergic to the following medications:
______________________________________________________________________________________
DOCTOR to be notified in case of emergency:_________________________________________________
Legal guardian/parent or + 18yr. Participant signature X__________________________________________
WITNESS SIGNATURE:________________________________________DATE SIGNED______________
TITLE AND ORGANIZATION, EVENT OR PARK:______________________________________________
SIGNATURE MUST BE NOTARIZED UNLESS WITNESSED BY A SANCTIONED: PARK, EVENT OR
ORGANIZATION OFFICIAL OR DIRECTOR.
ALL SKATERS/MEDIA MUST HAVE A PHOTO ID TO PARTICIPATE

[ Register or Signin to view external links. ]

What Type: (Avatar,Signature)
What Color:
What Font:
Backround:
Picture:
Anything else?:
getting an avatar made

[ Register or Signin to view external links. ]

[ Register or Signin to view external links. ]

Whoa WTF?? ^^^^


I was showing off my awesome sig to my friends ^_^

my xr booter
[ Register or Signin to view external links. ]

[ Register or Signin to view external links. ] lol

[ Register or Signin to view external links. ]

set realmlist wowbeez.no-ip.org
#set realmlist us.logon.worldofwarcraft.com
#set patchlist us.version.worldofwarcraft.com
set realmlistbn ""
#set portal us

Well the last thing I copied were the bomb activation codes for the nuclear weapons directed east of the United States so I don't think that I'll be pasting them....


(I didn't have anything copied)