Participant and/or Participant's parent(s) or guardian acknowledge that ice skating is an inherently dangerous activity that involve risk of accident, property damage, serious bodily injury, and death. By signing this Release, Participant, and/or Participant's parents(s) or guardian, assume full responsibility for any risk of injury, property damage, or death arising out of Participant's use of Cider Barn Ice Skating Rink located within Cider Barn Tree Farm, LLC (hereafter referred to as the "Rink"). Participant agrees that Cider Barn Tree Farm, LLC including without limitation, all affiliates, divisions, officers, attorneys, employees, agents, assigns, representatives, or successors, are not responsible for any injury or damages of Participant arising out of, or related to, Participant's use of the Rink. Participant and/or Participant's parent(s) or guardian (collectively "Releasing Parties") hereby waive, release, and forever discharge all claims for damages, loss, personal injury, or death that Releasing Parties may encounter related to or arising out of Releasing Parties' activities at the Rink. This Release is intended to fully and completely discharge Cider Barn Tree Farm, LLC and all sponsors of the Cider Barn Tree Farm, LLC and their subsidiaries, affiliates, partners, officers, directors, employees, agents, and volunteers from any and all liability for any loss, damage, or expense that Releasing Parties or Releasing Parties' respective heirs, assigns and legal representatives may suffer as a result of Releasing Parties' use of the Rink and surrounding areas, from any cause whatsoever, including without limitation, any act, omission, error, negligence or breach of contract on the part of Cider Barn Tree Farm or any sponsors of the Rink, in the operation, supervision, design, maintenance, or condition of the Rink and all surrounding areas. This release is intended to be as broad and inclusive as permitted by law and is intended to be effective and binding upon Releasing Parties' heirs, next of kin, families, relatives, guardians, conservators, executors, administrators, trustees, and assigns. Participant certifies that: (a) Participant has been advised to consult a physician before using the Rink; (b) Participant is in good physical health sufficient to use the Rink; (c) Participant is not under the influence of alcohol or drugs; and (d) Participant is not taking any medication that would prevent Participant from safely using the Ice Rink. Participant and/or Participant's parent(s) or guardian(s) agree to follow all rules posted at the Rink and surrounding areas, and instructions from the operating staff of the Rink. Participant further agrees to abide by the "Code of Skater Conduct included with Cider Barns own” Cider Barn Ice Rink Rules" as posted within the Rink area. Failure to follow the "Code of Skater Conduct" rules and/or “Cider Barn Ice Rink Rules posted at the Rink and surrounding areas, or instructions from the operating staff of the Rink may result in the termination of Participant's use of the Rink, surrounding areas, and rental skates without refund. Releasing Parties agree to, at Releasing Parties' sole expense, and with legal counsel reasonably acceptable to Cider Barn defend, indemnify, and hold harmless Cider Barn from and against any and all accidents, injuries, liability, claims, costs or expenses related to any act, error, omission, or negligence of Releasing Parities, arising out of, or related to, Releasing Parties' use of the Rink and surrounding areas. Releasing Parties hereby authorize Cider Barn to use any photographs, videotapes, recordings, or any other records taken of Releasing Parties while at the Rink and surrounding areas for publicity, advertising, or any other legitimate purpose. BY SIGNING THIS RELEASE, I UNDERSTAND THAT I AM RELEASING CIDER BARN TREE FARM, LLC, AND ALL SPONSORS OF THE RINK FROM ANY POTENTIAL CLAIMS FOR DAMAGES CAUSED BY ANY ACT, ERROR, OMISSION OR NEGLIGENCE OF CIDER BARN TREE FARM, LLC, OR OTHER SPONSORS. Name of Participant: _______________________________Age: ___________ DOB: ______________ Name of Participant: _______________________________ Age: ___________ DOB: ______________ Name of Participant: _______________________________ Age: ___________ DOB: _ _____________ Name of Participant: _______________________________ Age: ___________ DOB: ______________ Name of Participant: ______________________________ Age: ___________ DOB: ______________ Address: _____________________________________ City: __________________________________ State:______________ Zip:________________ Phone: _________________ Parent/Guardian of Participant Signature: ____________________________________ Date: ________ This is to certify that I, as parent or guardian with legal responsibility for the Participant, do consent and agree to his/her release as provided above. I further agree that I will not leave the Rink area and will remain in a location close enough to supervise and remain responsible for the Participant’s safety and welfare. To the fullest extent permitted by law, I hereby release and agree to indemnify Cider Barn Tree Farm, LLC and all sponsors of the Rink and their subsidiaries, affiliates, partners, officers, directors, employees, agents, and volunteers from any and all liabilities incident to the Participant's involvement or participation in the ice skating activities offered at the Rink and surrounding areas, even if arising from any act, error, omission or negligence of Cider Barn Tree Farm, LLC and/or a sponsor of the Rink. Parent/Guardian/Participant Signature: ___________________________________________________________ Emergency Contact and Phone Number_________________________ _________________________________________Date___________________