Complete a waiver for myself
Complete a waiver for myself and children

Adult Information

(  Indicates a required field )

( Age must be at least 18 years old )

Contact Information


Please read the waiver below and fill out the required fields found in the following form sections. All liability language from the waiver will apply to all household members listed below.
RELEASE OF LIABILITY AND ASSUMPTION OF RISK The individual named below (referred to as “I” or “me” and includes children and wards) desires to participate in any and all activities, including, but not limited to, individually handling axes, throwing axes at fixed targets, observing other patrons handling and throwing axes at fixed targets, and any similar activities (the “Activity” or “Activities”) provided at Whoopin' Axe by The Works at Wyomissing, LLC , a Pennsylvania limited liability company with offices located at 1109 Bern Road, Wyomissing, PA 19610 (the “Company”). As lawful consideration for being permitted by the Company to participate in the Activity, I agree to all the terms and conditions set forth in this agreement (this “Agreement”). I AM AWARE AND UNDERSTAND THAT THE ACTIVITIES ARE DANGEROUS ACTIVITIES AND INVOLVE THE RISK OF SERIOUS INJURY, DEATH, AND/OR PROPERTY DAMAGE. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY BE COMPOUNDED BY NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE COMPANY. I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DEATH, OR PROPERTY DAMAGE, WHETHER CAUSED BY THE NEGLIGENCE OF THE COMPANY OR OTHERWISE. I hereby expressly waive and release any and all claims, now known or hereafter known in any jurisdiction throughout the world, against the Company, and its officers, directors, employees, agents, affiliates, shareholders, members, successors and assigns (collectively, “Releasees”), on account of injury, death, or property damage arising out of or attributable to my participation in the Activities, whether arising out of the negligence of the Company or any Releasees or otherwise. I covenant not to make or bring any such claim against the Company or any other Releasee, and forever release and discharge the Company and all other Releasees from liability under such claims.
  I acknowledge I have read and understand this waiver and certify that all personal information is correct.
  I wish to allow my email to be used for marketing purpose.
By signing this waiver, I agree that all information is complete and accurate.