RELEASE AND PARENT/GUARDIAN WAIVER OF LIABILITY AND ASSUMPTION OF RISK

I undersigned on my behalf and, if applicable, my child/ward named below (hereinafter “RELEASOR”), hereby acknowledge that I and my child/ward, desire to voluntarily participate in the activities and services provided by STAR PARK USA LLC d.b.a. Star Park indoor play ground and party and its affiliates, instructors, officers, managers, agents, employees, designers, licensors, and members, as well as the property owner and tenants of the property and the owners, manufacturers and installers of the equipment comprising the Star Park usa llc facility (collectively, “STAR PARK” or “RELEASEES”), including but not limited to, the use of the equipment, facilities, receiving instructions, strenuous bodily movement, and the premises (hereinafter collectively referred to as “STAR PARK Indoor play ground & Party”), and further agree and acknowledge as follows:

ASSUMPTION OF RISK: I, the undersigned, understand and acknowledge that STAR PARK ACTIVITIES & SERVICES have varying effects on individuals based upon their size, age, physical condition and/or state of health. I further recognize, acknowledge and agree that it is my sole decision whether to consult with medical professional prior to participating in STAR PARK ACTIVITIES & SERVICES and that STAR PARK recommends that participants consult with a medical professional prior to participating in STAR PARK ACTIVITIES & SERVICES, especially if a member has had a recent injury, surgery, pregnancy or other health conditions. I, and/or my child/ward, have either consulted a physician and received medical advice and consent to participation in STAR PARK ACTIVITIES & SERVICES or have waived such advice and consent of physician and accept any and all RISKS. I am assuming, on behalf of myself and/or child/ward, all risk of personal injury, death, or disability to myself and /or child/ward that my result from participation, or any damage, loss or theft of any personal property which me and/or child/ward may incur.

I am aware, understand and acknowledge that participation in STAR PARK ACTITIVIES & SERVICES is a potentially hazardous activity and involves inherent risks of danger or injury, including but not limited to, sprains, strains, fractures, concussions, contusions, lacerations, abnormal blood pressure, heart disorders, fainting, shortness of breath, chest pain, strokes, heart attack, or even death that can occur (hereinafter collectively referred to as “RISKS”). I am voluntarily participating in STAR PARK ACTIVITIES & SERVICES with the knowledge of the danger involved with the RISKS and with the knowledge that staff assistance and/or medical facilities may not be available in the event of illness or injury. I HEREBY AGREE TO ACCEPT ANY AND ALL RISK OF INJURY, ILLNESS, OR DEATH INHERENT IN STAR PARK ACTIVITIES & SERVICES AND VERIFY THIS STATEMENT BY PLACING MY SIGANTURE BELOW.

RELEASE OF LIABILITY: I understand that I, and/or my child/ward, will be engaging in STAR PARK ACTIVITIES & SERVICES using the STAR PARK facilities and it is my voluntary and informed decision to release any future lawsuits or claims that I and/or they have or may have against the RELEASEES. RELEASOR EXPRESSLY RELEASES AND FOREVER DISCHARGES AND HOLDS HARMLESS RELEASEES FROM ANY AND ALL PAST, PRESENT AND FUTURE LIABILITY, CLAIMS, DEMANDS OR CAUSES OF ACTION WHATSOEVER ARISING OUT OF THEIR ACTS AND/OR OMISSIONS, INCLUDING BUT NOT LIMITED TO, DEMANDS, OBLIGATIONS, ACTIONS, CAUSES OF ACTION, RIGHTS, DAMAGES, COSTS, NEGLIGENCE CLAIMS, GROSS NEGLIGENCE CLAIMS, ASSAULT CLAIMS, DECEPTIVE TRADE PRACTICE CLAIMS, CONTRACT CLAIMS, INTENTIONAL INFLICTION OF EMOTIONAL DISTRESS CLAIMS, PERSONAL INJURY CLAIMS, PREMISES LIABILITY CLAIMS, PRINCIPAL-AGENT LIABILITY CLAIMS, MENTAL ANGUISH CLAIMS, PAIN AND SUFFERING CLAIMS, PHYSICAL IMPAIRMENT CLAIMS, DISFIGUREMENT CLAIMS, LOST WAGES CLAIMS, LOSS OF EARNING CAPACITY CLAIMS, WARRANTY CLAIMS, PUNITIVE DAMAGES CLAIMS, EXEMPLARY DAMAGES CLAIMS, AND ANY OTHER FORM OF COMPENSATORY CLAIMS OF ANY NATURE WHATSOEVER, WHETHER BASED ON A TORT, CONTRACT, OR OTHER THEORY OF RECOVERY, WHETHER SAME BE KNOWN AND REALIZED OR UNKNOWN AND NOT REALIZED, THAT I, MY ASSIGNEES, HEIRS, DISTRIBUTES, GUARDIANS OR LEGAL REPRESENTATIVES NOW HAVE, HAVE HAD, OR EVER WILL HAVE; FOR INJURY, ILLNESS, DEATH, OR DAMAGE RESULTING FROM MY PARTICIPATION IN STAR PARK ACTIVITIES & SERVICES AND THE RISKS INVOLVED WITH SAME. THIS RELEASE IS INTENDED BY BOTH PARTIES TO BE AS BROAD IN ITS EFFECT AS ALLOWED BY LAW. This release is valid and effective whether the damage, loss, or death is a result of any act or omission on the part of accidents, which may occur as a result of the: (a) use or misuse of the facility in any way by anyone; (b) use of any equipment that malfunctions or breaks; (c) improper maintenance of the facility, grounds or any equipment; (d) instruction or supervision; or (e) slipping, tripping and/or falling while in the facility or on the surrounding premises.

As consideration for being permitted by STAR PARK USA LLC to participate in STAR PARK ACTIVITIES & SERVICES, I hereby agree that I, my assignees, heirs, distributes, guardians, and legal representatives will not make a claim against, or sue STAR PARK USA LLC or its past, present or future parent, subsidiaries, affiliates, other related entities, successors, owners, members, managers, officers, agents, employees, servants, assigns, investors, legal representatives, and all individuals, and entities involved in the operations of STAR PARK USA LLC for injury, illness, death or damage resulting from my participation in STAR PARK ACTIVITIES & SERVICES and the RISKS involved therein.

I further grant STAR PARK the right to photograph, videotape, and/or record me and/or my child/ward and to use my or my child’s/ward’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation.

I HAVE CAREFULLY READ THIS WAIVER, RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT IN ITS ENTIRETY AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A WAIVER, RELEASE OF LIABILITY, ASSUMPTION OF RISK AGREEMENT AND A LEGAL CONTRACT BETWEEN ME AND STAR PARK USA LLC AND THAT IT AFFECTS MY LEGAL RIGHTS. I AM SIGNING THIS DOCUMENT OF MY OWN FREE WILL.

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