Heaven Skates Inc Waiver of Liability
404-431-7011 or 404-312-0726
202 Highway 61  Cartersville, GA 30120

Heaven Skates Inc. is committed to conducting their programs in a safe manner and holds the safety of participants in high regard. We insist that all participants follow safe skating practices at all times. A helmet must be worn and securely buckled while skating with no exceptions.

You are solely responsible for determining if you or your minor child or ward is physically fit and or adequately skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.

Warning of Risk

Skateboarding, and Inline skating are activities that challenge and engage the physical, mental, and emotional resources of each participant. However, despite careful and proper preparation, instruction, medical advice, conditioning, and equipment there is still risk of serious injury. Understandably, not all hazards and dangers can be foreseen. Because skating puts great demands on stamina, the very nature of skating is hazardous. Such risks and dangers include but are not limited to; an irregular riding surface, losing balance, trying to perform stunts, slipping on riding surface, tripping, riding near traffic, loss of control, colliding with other riders or stationary objects, bad weather, lack of or failure of equipment. It must be recognized that it is impossible for Heaven Skates Inc. or its staff to guarantee absolute safety.

I have read the above statement and recognize and acknowledge that there are risks of physical injury to participants in this program. I voluntarily agree to assume the risk of any injuries, damages, or loss, regardless of severity that my minor child/ ward or I may sustain as a result of participating in the activities connected with or associated with this program/ activity.

I do hereby fully release and forever discharge all parties from any and all claims for injuries, damages or loss that may accrue to me or my minor child/ ward and arising out of, connected with, or in any way associated with Heaven Skates Inc., The Church at Woodland or anyone involved with this program/ activity.

I have read and fully understand the above important information and warning of risk statements. I have also read the above and explained it to my minor child/ ward. I do hereby release all parties from any liability arising out of, or connected to this program.

Today's Date___________________

PRINT Participant's name ____________________________________________

Participant's signature ________________________________________ 

If under 18 parents or legal guardian signature ________________________________________

YOU MUST SIGN THIS IN OUR PRESENCE OR HAVE IT NOTARIZED.

Heaven Skates Rules

  1. Everyone is welcome at Heaven Skates regardless of race or religion. However please know that we are a Christian skate park and expect everyone to follow our rules.
  2. You must have a waiver signed by your parents on file to skate. If you are over 18 you can sign your own waiver.
  3. All skaters must have a helmet on and securely buckled at all times while skating.
  4. No foul language or gestures allowed.
  5. No throwing your board or beating it up.
  6. Bad attitudes will be sent home immediately with no exceptions.
  7. No spectators will be allowed in the skate park. Spectators must stay in the office or on our observation deck.
  8. No MP3 players, iPods or any music playing devices allowed.
  9. Our staff has the right to remove you from the skate park with no refund.
  10. The park has 24-hour video surveillance for your safety and ours. Anyone entering the park when it is closed will be prosecuted to the fullest extent of the law.

I have read and understand the above rules.      Date___________________     

Skater sign here ______________________________________

Participant's date of birth _________________

Home address: Street ___________________________________________________

City _______________________________State _______ Zip code________________

Optional: Church you attend_________________________________________

Emergency Phone Numbers

We must have two emergency phone numbers before we can allow anyone to skate.  All numbers will be verified.

Home phone #__________________________________

2nd phone for emergency _________________________

Pager or cell phone _____________________________

Other emergency phone number ____________________

Is the participant taking any medication?  List: ______________________________________________.

Please list any allergies or medical problems we may need to know about in case of emergency: