The Legal Jargon

The Lane at Ivy City Accident Waiver and Release of Liability Form

I hereby consent to participation in recreational activities and use of the space known as The Lane at Ivy City (“the Facility”) located at 1408 Okie St NE, Washington, DC 20001 and operated and maintained by Jero One, LLC dba The Lane at Ivy City. I acknowledge that this Accident Waiver and Release of Liability Form (“Agreement”) will be used by Jero One, LLC dba The Lane at Ivy City and others, and that it will govern my actions and responsibilities, and those of my child/children, at the Facility. 

I acknowledge that I have read, understood, and I voluntarily agree, individually and on behalf of myself, to abide by all rules and regulations as posted in the Facility. I further voluntarily agree to abide by any instruction or direction given to me by any staff member or employee of the Facility. I acknowledge that participation of activities offered by or through the Facility and use of the Facility may involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular trac, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE FACILITY, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. 

I, for myself, my child/children or ward/wards acknowledge by accepting this waiver that I grant the Facility and its authorized representatives permission to record on photography and/or video, pictures of my/our participation. I further agree that any or all material photographed may be used, in any form, as part of future publications, brochures, or other printed materials, and social media, used to promote Jero One, LLC dba The Lane at Ivy City and further that such shall be without payment of fees, royalties, special credits or discounts to Facility or other compensation. 

In consideration for use of the Facility and services and activities offered by or through the Facility, I do hereby waive, release and forever discharge from liability: Jero One, LLC dba The Lane at Ivy City, its subsidiaries and affiliates and their respective agents, employees, officers, directors, shareholders, successors, and assigns from any and all claims and causes of action of any kind or nature which are in any way related, directly or indirectly, to the use of the Facility or participation in any activity offered by or through the Facility which I may have or that hereafter may accrue including any such claims or causes of action caused in whole or in part by the negligence of Jero One, LLC dba The Lane at Ivy City, its subsidiaries and affiliates, and their respective agents, employees, officers, directors, successors, and assigns. I understand that I am here at my own risk and expense and agree I will not bring any claim or cause of action of any kind or nature against Lane Social Club, Inc., its subsidiaries and affiliates and their respective agents, employees, officers, directors, successors and assigns. 

I further agree to indemnify, defend and hold harmless Jero One, LLC dba The Lane at Ivy City, its subsidiaries and affiliates and their respective agents, employees, officers, directors, successors, and assigns from any claims or causes of action of any kind arising from my use of the Facility or any participation or activity offered by or through the Facility. By accepting below, I acknowledge and agree that I have read this Waiver/Agreement, understood all of the terms and conditions contained herein, and that this Waiver/Agreement will be in full force and effect during each of my or my child's/children visit to the Facility. This Waiver/Agreement shall remain in full force and effect at all times I am present at the Facility, or participating in a service offered by or through the Facility.

Medical Release and Authorization *

As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named minor. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Jero One, LLC dba The Lane at Ivy City and its affiliates including Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY ON BEHALF OF MYSELF AND A MINOR CHILD/CHILDREN, AND I ACCEPT THE TERMS OF THIS WAIVER OF MY OWN FREE WILL.