The Vault Shack

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    Yearly Insurance Fee

    Duration 1 year
    Access Unlimited
    Cost $35.00 / year

Membership Documents

Waiver / liability release

THE VAULT SHACK - INDEMNIFICATION, RELEASE AND WAIVER OF LIABILITY

In consideration of the acceptance of my or my child’s (as applicable) application with The Vault Shack, LLC, a Pennsylvania limited liability company (“The Vault Shack”), the undersigned acknowledges and agrees to the following, intending to be legally bound: 

1. I understand that pole vaulting is a risk and that injuries can be a consequence of participation in this activity and no amount of reasonable supervision or use of the facility will prevent injuries. I have carefully considered how the possible consequences of any injury may impact my or my child’s life, as applicable, and I choose to accept this risk and allow him/her to participate in the designated activity 

2. In consideration of my or my child’s (as applicable) application being accepted, I, intending to be legally bound, do hereby release and forever discharge any and all rights and claims for damages, which I or my child (as applicable) may have or which may hereafter accrue to me or my child (as applicable) against The Vault Shack and its employees, members, o cers, representatives, a liated entities, agents, successors, assigns and its staff (including, without limitation, Bradi Rhoades, Katie Rhoades, Tim McNeil, Thomas Hale, Joe Sanford) (collectively, “Released Parties”) for any or all damages which may be sustained or suffered by me or my child (as applicable) in connection with my or my child’s (as applicable) participation in activities at and/or rising out of my or my child’s (as applicable) traveling to or returning from The Vault Shack, and use of any equipment of The Vault Shack. This release covers any and all losses and/or damages, whether caused in whole or in part by the conduct or omission (including all negligent acts and omissions) of any of the Released Parties.  This release covers claims for personal and emotional injuries, property damage, claims for attorneys’ fees and costs, claims for liquidated damages, compensatory, general and punitive damages, and every other kind of relief available at law or in equity, whether accrued now or hereafter. The Vault Shack assumes no liability for personal injury or for the loss or damage of personal property.

3. The Vault Shack reserves the right without notice to modify, change or revoke the arrangements, regulation, curriculum and instructional materials used in its programs. The Vault Shack reserves the right to refuse admission to any student at any time should The Vault Shack determine such action is in the best interests of The Vault Shack or student. 

4. I further agree to indemnify and hold harmless the Released Parties from and against any and all claims, losses, costs, damages, liabilities or expenses of any nature whatsoever (including attorneys’ fees) arising out of or relating to my attendance and/or participation in activities at The Vault Shack’s facilities or otherwise through its programs. 

5. The laws of the Commonwealth of Pennsylvania shall govern the validity, construction and enforceability of this agreement.  All suits, actions, claims and causes of action relating to the construction, validity, performance and enforcement of this agreement shall be in the courts of the Commonwealth of Pennsylvania.

I AM AT LEAST 18 YEARS OLD.  I HAVE READ THIS INDEMNIFICATION, RELEASE AND WAIVER OF LIABILITY CAREFULLY. I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP IMPORTANT RIGHTS BY SIGNING IT, AND I HAVE SIGNED IT KNOWINGLY, FREELY AND VOLUNTARILY WITHOUT ANY DURESS OR COERCION, INTENDING TO BE LEGALLY BOUND.

 I understand the above stated 

Athlete is less then 18 years old...(Athlete is Under 18) 

I, FOR MYSELF AND MY MINOR CHILD/WARD, HAVE READ THIS INDEMNIFICATION, RELEASE AND WAIVER OF LIABILITY CAREFULLY. I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP IMPORTANT RIGHTS BY SIGNING IT, AND I HAVE SIGNED IT KNOWINGLY, FREELY AND VOLUNTARILY WITHOUT ANY DURESS OR COERCION, INTENDING TO BE LEGALLY BOUND.

I understand the above stated. 

Done Clear Sign Below:

The Vault Shack LLC
Social Media Release Waiver

By signing this waiver, you grant The Vault Shack LLC (“Company”) permission to use,
reproduce, edit, and share photographs, videos, and/or other media content featuring your
image, voice, or likeness for marketing and promotional purposes, including but not limited to
social media platforms, the Company’s website, and other promotional materials.

Terms of Agreement

  1.  Consent:
    By signing below, you acknowledge and consent to the following:
    ○ The Vault Shack LLC may use your image, voice, or likeness in any media format
    for lawful purposes.
    ○ Your consent is voluntary and does not entitle you to any form of compensation.
  2. Usage Rights:
    The Vault Shack LLC reserves the right to:
    ○ Edit, crop, or modify the media for creative purposes.
    ○ Use the media indefinitely unless otherwise specified in writing by you.
  3. Release of Liability:
    You hereby release The Vault Shack LLC from any claims, demands, or liabilities arising
    out of the use of the media, including but not limited to any claims for defamation,
    invasion of privacy, or infringement of publicity rights.
  4. Ownership:
    The Vault Shack LLC retains all ownership rights to the media, and you waive any rights
    to inspect or approve the final product.

Opt-Out Option
If you wish to opt out of being featured in any media, please notify The Vault Shack LLC in
writing or via email at thevaultshack@gmail.com.

Acknowledgment
By signing below, you confirm that you have read and understood this waiver and agree to its
terms. If signing on behalf of a minor, you affirm that you are the minor’s parent or legal
guardian and have the authority to grant this consent.

Parent Name (Printed): 
Athlete Name (Printed): {name}
Date: {sign_date}

Done Clear Sign Below:

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  • Phone

    (724) 496-5863

  • Address

    263 Golf Course Rd
    Volant, PA 16156

  • Email

    thevaultshack@gmail.com

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