WSR Booking form - Adult Party
Event Address: 1003 6th St. Highway 22 West Wellman Iowa
Contact us at (319) 646-2231 or skatingrink@cityofwellman.com

YOU MUST PROVIDE A CERTIFICATE OF INSURANCE TO HAVE A PARTY WITH ALCOHOL! 

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Basic information PLEASE READ THIS!!
Adult Party Rental fee starts at $250 for 2 hours for SKATERS OR NON SKATERS  and that includes skate rental. Extra hours cost $125/hour.  YOU MUST PROVIDE A CERTIFICATE OF INSURANCE TO 
These events are BYOB and ONLY (NO EXCEPTIONS) 21+ can attend. ID's will be checked at the door.
No glass containers, hard liquor or outside food are to be brought in the building.
We reserve the right to search all bags, coolers and coats brought into the building.
Signing this agreement means that you are responsible for your attendees. If things get out of hand, LEO will be called immediately and you will be liable for any cost or damages incurred during party.  
Wellman Skating Rink Waiver of Liability and Assumption of Risk
WELLMAN SKATING RINK PARTICIPANT AGREEMENT, INDEMNIFICATION, GENERAL RELEASE AND ASSUMPTION (PLEASE READ THIS DOCUMENT CAREFULLY, BY SIGNING IT, YOU ARE GIVING UP YOUR AND/OR YOUR MINOR’S LEGAL RIGHTS)
In consideration of being allowed to participate in the services and activities, including, but not limited to, roller skating, and snack bar access and any other amusement activities (collectively “ACTIVITIES”), provided by Wellman Skating Rink and its agents, owners, officers, directors, principals, volunteers, participants, clients, customer, invitees, employees, independent contractors, insurers, facility operators, land and/or premises owners, and any and all other persons and entities acting in any capacity on its behalf (collectively Wellman Skating Rink).  I, on behalf of myself, and/or on behalf of my minor child(ren)/ward(s), hereby agree to forever release, indemnify, and discharge Wellman Skating Rink on behalf of myself, my spouse, legal partner, my children, my parents, my guardians, heirs, assigns, personal representatives and estate, and all other persons and entities who could in any way represent me or act on my behalf as follows:
(1) RELEASE OF LIABILITY: Despite all known and unknown risks, I hereby expressly and voluntarily remise, release, acquit, satisfy and forever discharge WELLMAN SKATING RINK and agree to hold it harmless of and from all, and all manner of action and actions or omission(s), cause and cause of action, suits, debts, dues, sums of money, accounts, reckonings, bonds, bills, specialties covenants, contracts, controversies, agreement, promises, variances, trespasses, damages, judgments, executions, claims and demands whatsoever, in law or in equity, including, but not limited to, any and all claims which allege negligent acts and/or omissions committed by WELLMAN SKATING RINK, whether the action arises out of any damage, loss, personal injury, or death to me or my child(ren)/ward(s), while participating in or as a result of participating in any of the ACTIVITIES.
This release of Liability is effective and valid regardless of whether the damage, loss or death is a result of any act or omission on the part of WELLMAN SKATING RINK.
(2) INDEMNIFICATION: I hereby agree to indemnify and hold harmless from and against any and all losses, liabilities, claims, obligations, costs, damages and/or expenses whatsoever paid, incurred and/or suffered by WELLMAN SKATING RINK, including but not limited to and all attorneys’ fees, costs, damages and/or judgments WELLMAN SKATING RINK, incurs in the event that I or my minor child(ren)/ward(s) cause any injury, damage and/or harm to WELLMAN SKATING RINK and/or any and all other persons and entities acting in any capacity on behalf of WELLMAN SKATING RINK.
(3) ATTORNEYS’ FEES: I promise to indemnify WELLMAN SKATING RINK for any attorneys’ fees and/or costs incurred to enforce this agreement, including all costs associated with any collection efforts.  Further, should any debt and/or judgment accrue in favor of WELLMAN SKATING RINK, prejudgment and post-judgment interest shall accrue thereon at a rate of 18% per annum.
(4) PHOTO RELEASE: By entering WELLMAN SKATING RINK, and participating in the ACTIVITIES, I hereby grant WELLMAN SKATING RINK, on behalf of myself and on behalf of my child(ren)/wars(s), the irrevocable right and permission to photograph and/or record me or my child(ren)/ward(s) in connection with WELLMAN SKATING RINK, and to use the photograph and/or recording for all purposes, including advertising and promotional purposes, in any manner and all media now or hereafter known, in perpetuity throughout the world, without restriction as to alteration.  I waive any right to inspect or approve the use of the photograph and/or recording and acknowledge and agree that the rights granted to this release are without compensation of any kind.
(5) TERMS OF AGREEMENT: I understand that this agreement extends forever into the future and will have full force and legal effect each and every time I or my child(ren)/ward(s) visit WELLMAN SKATING RINK, whether at the current location or any other location or facility.
VENUE/ARBITRATION: In the event a lawsuit is filed against WELLMAN SKATING RINK, I agree to the sole and exclusive venue of the Washington County.  I further agree that the substantive law of Iowa shall apply without regard to any conflict of law rules.  I also agree that if any portion of this agreement is found to be void or unenforceable, the remaining portion shall remain in full force and effect.  Any controversy between the parties hereto involving any claim arising out of or relating to a breach of this agreement shall be submitted to and be settled by final and binding arbitration in Washington County, Iowa, in accordance with the then current Commercial Arbitration Rules of the American Arbitration Association.
By signing this document, I understand that I may be found by a court of law to have forever waived me and my child(ren(/ward(s) right to maintain any action against WELLMAN SKATING RINK, on the basis of any claim from which I have released WELLMAN SKATING RINK, and any released party herein.  I have had a reasonable and sufficient opportunity to read and understand this entire document and consult with legal counsel or have voluntarily waived my right to do so.  I knowingly and voluntarily agree to be bound by all terms and conditions set forth herein.  We reserve the right to review your license and other forms of ID to verify identity and age.

Name (digital signature agreeing to terms above) *
Address - Street and CITY *
Phone number *
Email *
We now have a jukebox, but if you want to create a Spotify playlist we will play it, WE WILL NOT TAKE SONG REQUESTS!
Do you want Casey's pizza? Large one topping is $17 Please be sure to tell me what time you want the pizza below. If you need more that one of each, note that in the other line. In house Pizza and Air Fryer foods are available also.
Enter the desired date and time of party. Friday nights from 9-11pm. No monies will be collected until party is confirmed. Do not plan on date until I have confirmed by email or text. If you want party for more than the 2 hours please specify below.  $125/hour extra.
Packages available *
Required
What time do you want the pizza?
Booking Deposit of $75 is required and nonrefundable. Credit Card info below - 16 digits, expiration date and 3 digit code. *
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