NAME (please print):_____________________________________________________

STREET ADDRESS:_____________________________________________________

CITY:____________________________STATE:__________ZIP CODE:__________

PLEASE READ

In consideration of permission to use, today and on all future dates, the property, facilities, and services (Facilities) of The Rink in Montvale I, the undersigned (Skater), hereby expressly agree:

1. THAT based on Chapter 28 New Jersey law “Roller Skating Rink Safety & Fair Liability Act”, which is prominently posted on The Rink wall for your inspection, I understand and agree that roller skating is a participation sport and I am fully aware of the risks and hazards involved in or arising from my use or presence upon the facilities. I hereby assume any and all risks involved in or arising from my use of or presence upon the facilities, including, without limitation, the risks of bodily injury resulting from collision between myself and another person or stationary object or the negligent or deliberate act of another person;

2. TO RELEASE THE RINK IN MONTVALE and it’s officers, directors, employees and agents from, and AGREE NOT TO SUE ANY OR ALL OF THEM, on account of or in connection with any claims, causes of action, injuries, damages, costs or expenses arising out of Skater’s use of or presence upon the Facilities, including, but not limited to, those based on bodily injury.

3. IF I IGNORE THIS AGREEMENT AND FILE SUIT, I WILL BE HELD RESPONSIBLE FOR ALL ATTORNEY FEES AND COURT COSTS INCURRED BY THE RINK IN MONTVALE / BERGENFIELD.

4. I Have Read And Understand This Agreement, I Understand That By Making And Signing This Agreement I Surrender Valuable Rights, Including, But Not Limited To, My Right To Sue. I Do So Freely And Voluntarily.

PLEASE COMPLETE & SIGN THE FOLLOWING

PLEASE SIGN:_______________________________DATE:__________